Adan, Maria

Adan, Maria is an individual health care provider with primary practice located at 5080 N Elston Ave , Chicago IL 60630-2459. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adan, Maria can be contacted via phone (773) 506-3161.

Contact Information

Primary practice address
5080 N Elston Ave Chicago IL 60630-2459
Phone: (773) 506-3161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1336813666
LBN Legal business name Adan, Maria
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336813666 NPPES
Illinois MEDICAID 19451960

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