Individual
MR. CHESTER JOSEPH DZIUBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1801 ROBERTS ST, WILMINGTON, IL 60481-1730
(815) 529-6874
Mailing address
1801 ROBERTS ST, WILMINGTON, IL 60481-1730
(815) 529-6874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014980
IL
Other
Enumeration date
02/14/2012
Last updated
12/07/2021
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