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1699184846
ELVINA STEGALL
SOUTH HOLLAND, IL
NPI
1699184846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: IL A58520002A)
Enumeration Date
2014-08-12
Last Update Date
2017-04-05
Business Address
-- ELVINA STEGALL
15525 S PARK AVE SUITE 114
SOUTH HOLLAND, IL 60473-1308
Phone number: 708-263-9512
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Mailing Address
-- ELVINA STEGALL
15525 S PARK AVE STE 114
SOUTH HOLLAND, IL 60473-1380
Phone number: 708-263-9512
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