Individual
MR. DEREK CHAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 GLENWOOD DR APT 201, BLOOMINGDALE, OH 60108
(708) 595-3086
Mailing address
358 GLENWOOD DR APT 201, BLOOMINGDALE, OH 60108
(708) 595-3086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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