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1649724154
MODERN CHICAGO THERAPY
CHICAGO, IL
NPI
1649724154
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Entity Type
Organization
Authorized Contact
DONNA KERN
CEO/Founder
847-308-0592
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 1366878183)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
MODERN CHICAGO THERAPY
3744 S MICHIGAN AVE
CHICAGO, IL 60653-1550
Phone number: 847-308-0592
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Mailing Address
MODERN CHICAGO THERAPY
3744 S MICHIGAN AVE
CHICAGO, IL 60653-1550
Phone number:
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