Individual
CHARVIS PEOPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 WISCONSIN AVE, OAK PARK, IL 60302-3630
(773) 354-6744
Mailing address
PO BOX 2353, OAK PARK, IL 60303-2353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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