Individual
JENNIFER CANTWELL REES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-1772
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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