Most Relevant Information
Provider Data
| NPI Number: | 1003356742 |
| Provider Name: | ANTHONY DILLARD NCRS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | A-8723-0002-A |
Most Important Dates
| Enumeration Date: | 02/28/2017 |
| Last Updated: | 02/28/2017 |
Provider Practice Location
995 BODE RD
ELGIN
IL
601204523
Practice Location Phone/Fax
| Phone: | 2242383279 |
| Fax: | 2242383279 |
Provider Mailing Location
394 MADISON AVE
CALUMET CITY
IL
604092107
Provider Mailing Phone/Fax
| Phone: | 7088685014 |
| Fax: | 7088688335 |