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Individual

JAMES MESSERSCHMIDT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
970 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7449
(815) 455-7100
(815) 455-3951
Mailing address
970 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7449
(815) 455-7100
(815) 455-3951

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05619771
BCBS
IL
Enumeration date
07/19/2005
Last updated
07/08/2007
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