RUSSELL BERGTOLD

EAST HAZEL CREST, IL
NPI1982266698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
RUSSELL BERGTOLD
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3333
Mailing Address
RUSSELL BERGTOLD
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number:
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