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Individual

JAZALYN BROCKLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
1021 W ADAMS ST STE 200, CHICAGO, IL 60607-2936
(773) 466-1555
Mailing address
4524 OPAL DR, HOFFMAN ESTATES, IL 60192-1185

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-481357
IL

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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