Individual
SHEERINE BAZARGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
305 E COUNTRY CLUB RD, URBANA, IL 61801-1107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32044
IL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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