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1982698833
JON-PAUL CHAMPINE
EVANSTON, IL
NPI
1982698833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071006739)
Enumeration Date
2005-09-07
Last Update Date
2007-07-08
Business Address
Dr. JON-PAUL CHAMPINE Psy.D.
2530 CRAWFORD AVE SUITE 315
EVANSTON, IL 60201-4970
Phone number: 847-869-4650
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Mailing Address
Dr. JON-PAUL CHAMPINE Psy.D.
316 MAIN ST UNIT 3
EVANSTON, IL 60202-4538
Phone number: 847-571-4985
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