Individual
AUSTIN JAMES ENGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 GABRIEL AVE, ZION, IL 60099-2526
(224) 456-6130
Mailing address
14913 W RUSSELL RD APT 1W, ZION, IL 60099-9234
(224) 456-6130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1331118
IL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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