Organization
SPECIALTY THERAPY
Active
Other names
Dan Utchenik dba Specialty Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN UTCHENIK MSW (PROPRIETOR)
(312) 860-9017
Entity
Organization
Contact information
Practice address
1119 HULL TER, 2, EVANSTON, IL 60202-3312
(312) 860-9017
Mailing address
E17017 NEVINS LAKE RD, SHINGLETON, MI 49884-9651
(312) 860-9017
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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