Individual
CHANEL HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 903-5604
(224) 788-5112
Mailing address
PO BOX 856, ANTIOCH, IL 60002-0856
(847) 903-5604
(224) 788-5112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149021556
IL
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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