Individual
CONNOR V NORTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8618 W CATALPA AVE STE 1106, CHICAGO, IL 60656-1108
(872) 810-9312
Mailing address
8618 W CATALPA AVE STE 1106, CHICAGO, IL 60656-1108
(872) 810-9312
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A74072
IL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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