Paul D Everett JR.

NPI 1053654756 - Counselor - 101YM0800X

NPI Details
NPI 1053654756
Gender Male
Enumeration Date 04/01/2013
Last Updated 04/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
5524 W HARRISON ST
CHICAGO IL, 60644-5032, US
Phone (773) 854-5077
Fax
Business Location
5524 W HARRISON ST
CHICAGO IL, 60644-5032, US
Phone (773) 879-0536
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Illinois
License Number 149015589
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According to our database, Mr. Paul D Everett JR. NPI is 1053654756, taxonomy code is 101YM0800X and license number is 149015589, license state is located at Illinois. Paul D Everett JR. physically located at 5524 W Harrison St, Chicago IL, 60644-5032. NPI Number Paul D Everett JR. has the Individual type.

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1053654756 NPI number is provided on an as is basis without warranty of any kind. 1053654756 is maintained by the National Plan & Provider Enumeration System. The contents of Paul D Everett JR. are for informational purposes only.