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1700648045
MARK MEDERICH
CHICAGO, IL
NPI
1700648045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-005627)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
MARK MEDERICH
2815 W PRATT BLVD
CHICAGO, IL 60645-4313
Phone number: 773-844-6182
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Mailing Address
MARK MEDERICH
2815 W PRATT BLVD
CHICAGO, IL 60645-4313
Phone number:
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