Individual
BHARATI DEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 S CICERO AVE, CICERO, IL 60804-2544
(708) 656-9500
Mailing address
1849 S CICERO AVE, CICERO, IL 60804-2544
(708) 656-9500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4310
IL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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