Provider Information for 1083851224
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Ms. SUNNY JEANNE GIVENS lcpc
Sex: Female
NPI: 1083851224
Last Updated: 2014-05-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083851224 | ||||||||
| Enumeration Date | 2009-01-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2856 N WOODARD ST CHICAGO, IL 60618-7519 United States Phone: 773-425-0559 | Fax: | ||||||||
| Primary Practice Address | 4654 N ROCKWELL ST CHICAGO, IL 60625-2941 United States Phone: 773-425-0559 | Fax: | ||||||||
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