Individual
ADAM ZUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14413 MAPLE GROVE RD, SHANNON, IL 61078-9265
(815) 541-4984
Mailing address
14413 MAPLE GROVE RD, SHANNON, IL 61078-9265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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