Avellone, Mary Elizabeth

Avellone, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 2024 Hickory Rd Ste 104 , Homewood IL 60430-2158. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Avellone, Mary Elizabeth can be contacted via phone (312) 832-9858.

Contact Information

Primary practice address
2024 Hickory Rd Ste 104 Homewood IL 60430-2158
Phone: (312) 832-9858
Fax: (312) 822-0712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071005023 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071005023 Illinois

Profile Details

NPI number 1699770693
LBN Legal business name Avellone, Mary Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 9th, 2021 - about 3 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 1699770693 NPPES
Illinois Other 1607451 BCBS IL

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