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1659597482
TIMOTHY JAMES ZENNER
CHICAGO, IL
NPI
1659597482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 17602)
Enumeration Date
2007-04-18
Last Update Date
2007-07-09
Business Address
Mr. TIMOTHY JAMES ZENNER C.A.D.C.
6027 N KENMORE AVE
CHICAGO, IL 60660-2953
Phone number: 773-506-7507
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Mailing Address
Mr. TIMOTHY JAMES ZENNER C.A.D.C.
1722 W NORTH SHORE AVE APT 2E
CHICAGO, IL 60626-4028
Phone number: 773-506-7507
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