Bank, Judith Meryl

Bank, Judith Meryl is an sole proprietor health care provider with primary practice located at 200 E Delaware Pl Apt 3C , Chicago IL 60611-1749. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bank, Judith Meryl can be contacted via phone (312) 543-5400.

Contact Information

Primary practice address
200 E Delaware Pl Apt 3C Chicago IL 60611-1749
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 149-001730 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149-001730 Idaho

Profile Details

NPI number 1326622622
LBN Legal business name Bank, Judith Meryl
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2021
Last updated May 12th, 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 1326622622 NPPES
Illinois Other 149-001730 PERSONAL
Illinois Other 149-001730 PERSONAL

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