Individual
RICHARD JOSEPH BAYRAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 PINGREE RD STE 204, CRYSTAL LAKE, IL 60014-1727
(224) 256-2607
(224) 256-2615
Mailing address
1095 PINGREE RD STE 204, CRYSTAL LAKE, IL 60014-1727
(224) 256-2607
(224) 256-2615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178014357
IL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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