PETER ILLING

CHICAGO, IL
NPI1922201813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149-004066)
Enumeration Date2007-06-07
Last Update Date2011-09-01
Business Address
-- PETER ILLING lcsw
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number: 773-572-5500
Mailing Address
-- PETER ILLING lcsw
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613-2193
Phone number: 773-572-5500
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