Individual
BONNIE MARIE BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 850-0050
(312) 850-9095
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 850-0050
(312) 850-9095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23494
IL
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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