Individual
CHENILLE CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 38TH AVE STE F-I, ST CHARLES, IL 60174-5411
(224) 218-5277
Mailing address
255 38TH AVE STE F-I, ST CHARLES, IL 60174-5411
(224) 218-5277
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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