Individual
HILLA OBAIDULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 S 4TH ST, SPRINGFIELD, IL 62703-3402
(847) 306-9843
Mailing address
2340 S 4TH ST, SPRINGFIELD, IL 62703-3402
(916) 562-7724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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