Ackley, Kathleen

Ackley, Kathleen is an individual health care provider with primary practice located at 3002 Grand Ave , Waukegan IL 60085-2321. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ackley, Kathleen can be contacted via phone (708) 302-4023.

Contact Information

Primary practice address
3002 Grand Ave Waukegan IL 60085-2321
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720771397
LBN Legal business name Ackley, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2023
Last updated May 31st, 2023 - about last year

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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