MARK MEDERICH

CHICAGO, IL
NPI1700648045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-005627)
Enumeration Date2024-01-23
Last Update Date2024-01-23
Business Address
MARK MEDERICH
2815 W PRATT BLVD
CHICAGO, IL 60645-4313
Phone number: 773-844-6182
Mailing Address
MARK MEDERICH
2815 W PRATT BLVD
CHICAGO, IL 60645-4313
Phone number: