Anderson, David Roy

Anderson, David Roy is an sole proprietor health care provider with primary practice located at 1720 W Polk St , Chicago IL 60612-4328. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, David Roy can be contacted via phone (312) 942-3549.

Contact Information

Primary practice address
1720 W Polk St Chicago IL 60612-4328
Phone: (312) 942-3549
Fax: (312) 942-6952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1568683597
LBN Legal business name Anderson, David Roy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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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