Individual
CHAD R HARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 403-5418
Mailing address
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820-2101
(217) 403-5418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1501133
IL
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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