Individual
JON DIFATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 N MAIN ST, ALGONQUIN, IL 60102-2449
(847) 854-4333
(847) 854-4334
Mailing address
214 N MAIN ST, ALGONQUIN, IL 60102-2449
(847) 854-4333
(847) 854-4334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.006488
IL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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