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Individual

CHAD PATRICK KINGSBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2900 HARRISON ST, EVANSTON, IL 60201-1204
(847) 238-2220
Mailing address
2900 HARRISON ST, EVANSTON, IL 60201-1204
(847) 238-2220

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.031613
IL

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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