Individual
MADIE SZALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 W WILLOW ST STE 102, CHICAGO, IL 60642-8977
(773) 630-4400
Mailing address
1120 N. LASALLE ST., APARTMENT 3C, CHICAGO, IL 60610
(440) 829-5836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26271
IL
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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