Individual
ANGIE MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E HIGGINS RD STE 102, ELK GROVE VILLAGE, IL 60007-1417
(847) 690-9825
(847) 690-9824
Mailing address
450 E HIGGINS RD STE 102, ELK GROVE VILLAGE, IL 60007-1417
(847) 690-9825
(847) 690-9824
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
3000242
IL
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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