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1598544116
LOGAN WILZ
NORTHBROOK, IL
NPI
1598544116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 38377)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
LOGAN WILZ
910 SKOKIE BLVD STE 215
NORTHBROOK, IL 60062-4033
Phone number: 847-480-0300
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Mailing Address
LOGAN WILZ
1021 S STATE ST APT 405
CHICAGO, IL 60605-2217
Phone number: 920-538-0122
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