Individual
MICHAEL FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
201 E PARK ST STE F, MUNDELEIN, IL 60060-1973
(224) 715-3517
Mailing address
201 E PARK ST STE F, MUNDELEIN, IL 60060-1973
(224) 715-3517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.003813
IL
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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