LAVOLL AND EDGER, S.C.
Ambulatory Health at Michigan Ave, Chicago, IL

License number
Illinois 036069216
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. ROBERT REYNOLDS EDGER M.D.
Title: SECRETARY LAVOLL AND EDGER, S.C.
Phone: (312) 988-7180
Address
Address
645 N Michigan Ave SUITE 820, Chicago, IL 60611
National Provider ID: 1306932751
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAVOLL AND EDGER, S.C

Chicago, IL 60611

Registration:
Jul 17, 1981
State ID:
52446392
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Andrew G Logan,600 Central Ave STE 275, Highland Park, IL 60035 (Physical)

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