Agnew, Khalidah Malikah

Agnew, Khalidah Malikah is an individual health care provider with primary practice located at 5540 W 111Th St , Oak Lawn IL 60453-5574. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Agnew, Khalidah Malikah can be contacted via phone (708) 634-0821.

Contact Information

Primary practice address
5540 W 111Th St Oak Lawn IL 60453-5574
Phone: (708) 634-0821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1306612924
LBN Legal business name Agnew, Khalidah Malikah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2023
Last updated Nov 27th, 2023 - 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.

Request for update

Popular Providers