Individual
DR. BONITA HUSBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
7 E CARRIAGEWAY DR # 503, HAZEL CREST, IL 60429-2032
(773) 383-7907
Mailing address
7 E CARRIAGEWAY DR # 503, HAZEL CREST, IL 60429-2032
(773) 383-7907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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