Individual
MICHAEL DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2643 N IL ROUTE 178 # J-4, UTICA, IL 61373-9724
(815) 993-3046
Mailing address
PO BOX 159, UTICA, IL 61373-0159
(815) 993-3046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180008372
IL
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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