Individual
JAMES EAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 E GOLF RD STE 105, DES PLAINES, IL 60016-1253
(847) 390-3050
Mailing address
1455 E GOLF RD, DES PLAINES, IL 60016-1250
(847) 390-3050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27665
IL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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