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1710414792
DAVID ALLEN HONGISTO
CHICAGO, IL
NPI
1710414792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 24127)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
DAVID ALLEN HONGISTO CADC
4750 N SHERIDAN RD STE 500
CHICAGO, IL 60640-5095
Phone number: 773-751-4125
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Mailing Address
DAVID ALLEN HONGISTO CADC
4862 N KENMORE AVE APT 1N
CHICAGO, IL 60640-3753
Phone number: 312-953-6456
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