NPI Provider: 1942247895
Contact Name: Wuest J Ronald
Position: Medical Director
Phone: (815) 942-6323
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Institute For Personal Develpment Information:
Institute For Personal Develpment organization have npi 1942247895, taxonomy code is 2084P0800X with license number is in . This Business address located in 1401 Lakewood Dr, Morris, IL 60450 Illinois.
Practice Location
Address: 1401 Lakewood Dr, Morris, IL 60450
Phone: (815) 942-6323
Business Location
Address: 1401 Lakewood Dr, Morris, IL 60450
Phone: (815) 942-6323
Fax: (815) 941-0308
Taxonomy
Taxonomy Code: 2084P0800X
License Number:
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/1/2006
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