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Individual

DR. ANTHONY DILLARD SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NCRS

Contact information

Practice address
995 BODE RD, ELGIN, IL 60120-4523
(224) 238-3279
(224) 238-3279
Mailing address
394 MADISON AVE, CALUMET CITY, IL 60409-2107
(708) 868-5014
(708) 868-8335

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-8723-0002-A
IL

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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