LESLIE JOEL ILLIDGE

CHICAGO, IL
NPI1730763228
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150007727)
Enumeration Date2021-05-10
Last Update Date2021-05-10
Business Address
Mr. LESLIE JOEL ILLIDGE
8530 S SAINT LAWRENCE AVE
CHICAGO, IL 60619-6025
Phone number: 773-852-0642
Mailing Address
Mr. LESLIE JOEL ILLIDGE
8530 S SAINT LAWRENCE AVE
CHICAGO, IL 60619-6025
Phone number: 773-852-0642
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