Individual
JUSTIN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 272-4150
Mailing address
11606 S OAKLEY AVE, CHICAGO, IL 60643-4724
(773) 820-3097
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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