Individual
MARTIN J KEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1000 W DIVERSEY PKWY STE 275, CHICAGO, IL 60614-1879
(773) 281-7200
Mailing address
10939 S MILLARD AVE, CHICAGO, IL 60655-3316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109215
IL
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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