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1801912019
SUBURBAN CLINICAL SERVICES P C
OAK PARK, IL
NPI
1801912019
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Entity Type
Organization
Authorized Contact
GULLIUME MOOR
Owner
708-795-4747
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002653)
Enumeration Date
2007-03-21
Last Update Date
2008-11-19
Business Address
SUBURBAN CLINICAL SERVICES P C
222 N MARION ST
OAK PARK, IL 60302-1968
Phone number: 708-795-4747
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Mailing Address
SUBURBAN CLINICAL SERVICES P C
PO BOX 3157
OAK PARK, IL 60303-3157
Phone number: 708-795-4747
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