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1861711541
JACK D NEIDITCH
CHICAGO, IL
NPI
1861711541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149-009897)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
MR. JACK D NEIDITCH L.C.S.W.
3656 N HALSTED ST
CHICAGO, IL 60613-5974
Phone number: 773-525-9945
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Mailing Address
MR. JACK D NEIDITCH L.C.S.W.
700 W BITTERSWEET PL UNIT 606
CHICAGO, IL 60613-2354
Phone number: 773-525-9945
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