Individual
MR. DANIEL POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
4239 N PARKSIDE AVE, CHICAGO, IL 60634-1826
(708) 990-7925
Mailing address
4239 N PARKSIDE AVE, CHICAGO, IL 60634-1826
(708) 990-7925
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1571452
IL
Other
Enumeration date
02/02/2021
Last updated
03/23/2021
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