Acosta, Andres
Acosta, Andres is an individual health care provider with primary practice located at 1644 W Colonial Pkwy , Inverness IL 60067-1207. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Acosta, Andres can be contacted via phone (847) 776-4500.Contact Information
Primary practice address
1644 W Colonial Pkwy
Inverness IL 60067-1207
Phone: (847) 776-4500
Fax: (847) 776-4724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 149007194 | Illinois |
Profile Details
| NPI number | 1891881843 |
|---|---|
| LBN Legal business name | Acosta, Andres |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Oct 8th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891881843 | NPPES |
| Illinois | Other | 149007194 | LCSW |
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