PAUL EDWIN VANDER SANDE

ST CHARLES, IL
NPI1912168832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180-002779)
Enumeration Date2008-06-23
Last Update Date2008-06-23
Business Address
-- PAUL EDWIN VANDER SANDE L. C. P. C.
2320 DEAN ST STE 101
ST CHARLES, IL 60175-1068
Phone number: 630-443-7754
Mailing Address
-- PAUL EDWIN VANDER SANDE L. C. P. C.
2320 DEAN ST STE 101
ST CHARLES, IL 60175-1068
Phone number: 630-443-7754
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