Individual
EDWARD DANIEL BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
240 E LAKE ST, #203, ADDISON, IL 60101-2890
(708) 567-8748
(708) 777-1623
Mailing address
240 E LAKE ST, #203, ADDISON, IL 60101-2890
(708) 567-8748
(708) 777-1623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003312
IL
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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