REVELL BURTON

WAUKEGAN, IL
NPI1689948416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  22561)
Enumeration Date2012-02-24
Last Update Date2012-02-24
Business Address
-- REVELL BURTON CADC AAS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200
Mailing Address
-- REVELL BURTON CADC AAS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200
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