Individual
CHADWICK STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2990 N PERRYVILLE RD, ROCKFORD, IL 61107-6814
(815) 469-1500
Mailing address
9500 BORMET DR, MOKENA, IL 60448-8303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
06/23/2022
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