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Individual

MR. EUGENE HERSKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
(312) 569-6144
Mailing address
622 N ASHLAND AVE, LA GRANGE PARK, IL 60526-5607
(708) 354-0179

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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