LERNARD PERSON

BERWYN, IL
NPI1609268622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  29548)
Enumeration Date2015-02-27
Last Update Date2024-11-01
Business Address
LERNARD PERSON CRADC
6918 W WINDSOR AVE
BERWYN, IL 60402-3334
Phone number: 708-745-5277
Mailing Address
LERNARD PERSON CRADC
5220 EAST AVE STE 1
COUNTRYSIDE, IL 60525-3133
Phone number: 708-745-5277