Acevedo, Samantha

Acevedo, Samantha is an individual health care provider with primary practice located at 3075 N Augusta Dr , Wadsworth IL 60083-9283. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Acevedo, Samantha can be contacted via phone (847) 804-6801.

Contact Information

Primary practice address
3075 N Augusta Dr Wadsworth IL 60083-9283
Phone: (847) 804-6801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.023216 Illinois

Profile Details

NPI number 1952883282
LBN Legal business name Acevedo, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Jun 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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