Individual
JACK CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W PETERSON AVE, CHICAGO, IL 60659-3920
(224) 491-4136
Mailing address
3007 W LAWRENCE AVE APT 2W, CHICAGO, IL 60625-7375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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