Individual
MR. ANTHONY ALLEN POOLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA, MAC, CCJS
Contact information
Practice address
600 HOLIDAY INN PLAZA, SUITE 400, ILLINOIS MENTOR, MATTESON, IL 60443-2241
(708) 679-9137
(708) 679-6861
Mailing address
600 HOLIDAY INN PLAZA, SUITE 400, ILLINOIS MENTOR, MATTESON, IL 60443-2241
(708) 679-9137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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