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Individual

DEREK SCOTT BYLSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
65 E WACKER PL STE 2200, CHICAGO, IL 60601-7296
(312) 804-3980
Mailing address
65 E WACKER PL STE 2200, CHICAGO, IL 60601-7296
(312) 804-3980

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010793
IL

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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