Individual
ANNIE EYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4942 138TH PLACE, CRESTWOOD, IL 60445
(708) 289-0212
Mailing address
4942 138TH PLACE, CRESTWOOD, IL 60445
(708) 289-0212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6168
IL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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