Antia, Kersey H

Antia, Kersey H is an individual health care provider with primary practice located at 17716 Oak Park Ave , Tinley Park IL 60477-3936. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Antia, Kersey H can be contacted via phone (708) 460-6060.

Contact Information

Primary practice address
17716 Oak Park Ave Tinley Park IL 60477-3936
Phone: (708) 460-6060
Fax: (708) 460-6060
Website:
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Health care specialties

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

Profile Details

NPI number 1710962683
LBN Legal business name Antia, Kersey H
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
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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