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1770097396
BERT FOX
CHICAGO, IL
NPI
1770097396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180.012648)
Enumeration Date
2017-11-17
Last Update Date
2019-12-20
Business Address
Mr. BERT FOX LCPC
5412 N CLARK ST STE 227
CHICAGO, IL 60640-1223
Phone number: 773-673-9095
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Mailing Address
Mr. BERT FOX LCPC
5412 N CLARK ST STE 227
CHICAGO, IL 60640-1223
Phone number: 773-673-9095
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