Individual
BEN SPANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 GREEN BAY RD, KENILWORTH, IL 60043-1001
(847) 853-0234
Mailing address
1161 LYMAN AVE, OAK PARK, IL 60304-2238
(312) 504-8460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012885
IL
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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