Individual
JACQUELINE M LITVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8953
Mailing address
725 COURT OF SPRUCE APT 2, VERNON HILLS, IL 60061-2643
(847) 372-6708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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