STEVEN D BLACK

CHICAGO, IL
NPI1639860786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
STEVEN D BLACK QIDP
6639 N KEDZIE AVE
CHICAGO, IL 60645-4161
Phone number: 312-730-6710
Mailing Address
STEVEN D BLACK QIDP
6639 N KEDZIE AVE
CHICAGO, IL 60645-4161
Phone number: 312-730-6710
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