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1962775734
BRIAN SMITH MCCALLUM
CRYSTAL LAKE, IL
NPI
1962775734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.005657)
Enumeration Date
2012-02-09
Last Update Date
2012-02-09
Business Address
BRIAN SMITH MCCALLUM
9414 ROUTE 176
CRYSTAL LAKE, IL 60014
Phone number: 800-361-6880
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Mailing Address
BRIAN SMITH MCCALLUM
15127 S 73RD AVE SUITE G
ORLAND PARK, IL 60462-4398
Phone number: 800-361-6880
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