JEAN TAJ VILUS

CHICAGO, IL
NPI1659830966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125.073889)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-16
Last Update Date2019-05-20
Business Address
JEAN TAJ VILUS
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-2000
Mailing Address
JEAN TAJ VILUS
407 DUDLEY ST UNIT 7
ROXBURY, MA 02119-3392
Phone number: 224-587-0642