Individual
BRIAN GEORGE HIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28674 BRAELOCH CT, LAKE BLUFF, IL 60044-3004
(224) 244-1130
Mailing address
28674 BRAELOCH CT, LAKE BLUFF, IL 60044-3004
(224) 244-1130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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