BLAKE PAXTON

CHICAGO, IL
NPI1700498904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101Y00000X Counselor
(Licence: IL  180017013)
Enumeration Date2020-08-19
Last Update Date2025-05-13
Business Address
BLAKE PAXTON PhD
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613-3011
Phone number: 773-659-9207
Mailing Address
BLAKE PAXTON PhD
5553 N MAGNOLIA AVE APT 2E
CHICAGO, IL 60640-1332
Phone number: 773-360-4548
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