Allen, Kathleen Louise
Allen, Kathleen Louise is an sole proprietor health care provider with primary practice located at 5341 W Cermak Rd , Cicero IL 60804-2817. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Allen, Kathleen Louise can be contacted via phone (708) 656-6430.Contact Information
Primary practice address
5341 W Cermak Rd
Cicero IL 60804-2817
Phone: (708) 656-6430
Fax: (708) 656-6591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-000772 | Illinois |
Profile Details
| NPI number | 1780795948 |
|---|---|
| LBN Legal business name | Allen, Kathleen Louise |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 18th, 2008 - 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 | 1780795948 | NPPES |
| Illinois | Other | 202591 | MEDICARE |
| Illinois | Other | 1617631 | MEDICARE |
| Illinois | MEDICAID | 180000772 | MEDICARE |
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