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1801200076
BENJAMIN FOGEL
CHICAGO, IL
NPI
1801200076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.015487)
Enumeration Date
2014-06-16
Last Update Date
2019-02-04
Business Address
BENJAMIN FOGEL LCSW
53 W JACKSON BLVD STE 841
CHICAGO, IL 60604-3828
Phone number: 312-478-3999
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Mailing Address
BENJAMIN FOGEL LCSW
2443 N SAWYER AVE APT 1S
CHICAGO, IL 60647-2517
Phone number: 312-478-3999
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