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1851836365
KYLE DVORAK
ELGIN, IL
NPI
1851836365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 178.011570)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- KYLE DVORAK
675 VARSITY DR
ELGIN, IL 60120-8176
Phone number: 847-741-2600
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Mailing Address
-- KYLE DVORAK
675 VARSITY DR
ELGIN, IL 60120-8176
Phone number: 847-741-2600
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