MICHAEL JOHN OLDENBURG

ROCKFORD, IL
NPI1851057475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: IL  178.017532)
Enumeration Date2021-11-09
Last Update Date2021-11-09
Business Address
MICHAEL JOHN OLDENBURG LPC
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-540-6151
Mailing Address
MICHAEL JOHN OLDENBURG LPC
1021 N MULFORD RD
ROCKFORD, IL 61107-3874
Phone number: