Individual
ANNETTE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 W 175TH STREET, SUITE 300, HOMEWOOD, IL 60430
(708) 730-4255
Mailing address
935 W 175TH STREET, SUITE 300, HOMEWOOD, IL 60430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30745
IL
Other
Enumeration date
11/11/2018
Last updated
11/13/2018
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