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Individual

MS. JUDITH CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3393
(708) 647-3503
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3393
(708) 647-3503

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16964
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16964
CADC,
IL
Enumeration date
04/19/2016
Last updated
04/19/2016
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