Individual
MR. JOHN MARTIN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725
Mailing address
3624 W 216TH STREET, MATTESON, IL 60443-2713
(708) 481-4080
(708) 481-7725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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