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Individual

MR. COTOREY JAMES SEALS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3511 W FILLMORE ST, CHICAGO, IL 60624-4312
(239) 810-2872
Mailing address
1147 W OHIO ST STE 103, CHICAGO, IL 60642-5874
(312) 772-9796

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.018822
IL

Other

Enumeration date
03/17/2023
Last updated
03/17/2023
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