Individual
LILLAR CHEVON BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 S DELANO CT W STE B201, CHICAGO, IL 60605-3734
(708) 654-1929
Mailing address
1136 S DELANO CT W STE B201, CHICAGO, IL 60605-3734
(708) 654-1929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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