Most Relevant Information
Provider Data
| NPI Number: | 1003270703 |
| Provider Name: | DANA MARIE AIKENS CSADC, MISAI, ATE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2016 |
| Last Updated: | 04/08/2016 |
Provider Practice Location
1909 CHEKER SQ
EAST HAZEL CREST
IL
604291442
Practice Location Phone/Fax
| Phone: | 7086473371 |
| Fax: | 7086473503 |
Provider Mailing Location
1909 CHEKER SQ
EAST HAZEL CREST
IL
604291442
Provider Mailing Phone/Fax
| Phone: | 7086473371 |
| Fax: | 7086473503 |