Individual
DARIUS BJ RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 N 78TH CT, ELMWOOD PARK, IL 60707-1013
(618) 401-0668
Mailing address
3111 N 78TH CT, ELMWOOD PARK, IL 60707-1013
(618) 401-0668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016482
IL
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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