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Individual

STEPHEN DYNAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
8707 SKOKIE BLVD, SUITE 216, SKOKIE, IL 60077-2269
(847) 568-1100
Mailing address
8707 SKOKIE BLVD, SUITE 216, SKOKIE, IL 60077-2269

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
178009707
IL
101YP2500X
Professional Counselor
178009707
IL

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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