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Individual

OTIS PEEPLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
134 N LASALLE SUITE 400, CHICAGO, IL 60604
(847) 493-3700
(847) 493-3714
Mailing address
201 N WESTSHORE DR APT 708, CHICAGO, IL 60601-7232
(847) 493-3700
(847) 493-3714

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178.008189
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
26792
IL

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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