Individual
DR. ANTONIO D CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
2109 S 8TH AVE, MAYWOOD, IL 60153-3230
(708) 356-6386
Mailing address
2109 S 8TH AVE, MAYWOOD, IL 60153-3230
(708) 356-6386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.027393
IL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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