| Cj Dziuban, Lcsw, Llc | |
|
421 N Water St Wilmington IL 60481-1188 | |
| (815) 529-6874 | |
| Not Available |
| Full Name | Cj Dziuban, Lcsw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 421 N Water St, Wilmington, Illinois |
| Authorized Official Name and Position | Chester Joseph Dziuban (OWNER) |
| Authorized Official Contact | 8155296874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cj Dziuban, Lcsw, Llc 1801 Roberts St Wilmington IL 60481-1730 Ph: (815) 529-6874 | Cj Dziuban, Lcsw, Llc 421 N Water St Wilmington IL 60481-1188 Ph: (815) 529-6874 |
| NPI Number | 1376215319 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376215319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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