Individual
ELVIN DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 FAIRFIELD WAY SUITE 205, BLOOMINGDALE, IL 60108
(630) 532-3622
Mailing address
1395 BEAUMONT CIR, BARTLETT, IL 60103
(630) 532-3622
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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