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1639647696
BRYAN HEIDEL
CHICAGO, IL
NPI
1639647696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180.011883)
Enumeration Date
2018-11-07
Last Update Date
2018-11-13
Business Address
Mr. BRYAN HEIDEL LCPC
2950 W CHICAGO AVE
CHICAGO, IL 60622-4375
Phone number: 773-569-9553
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Mailing Address
Mr. BRYAN HEIDEL LCPC
1823 N SAINT LOUIS AVE
CHICAGO, IL 60647-4824
Phone number: 177-356-9955
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