Becker, Kathleen Ann

Becker, Kathleen Ann is an individual health care provider with primary practice located at 42 W Madison St , Chicago IL 60602-4309. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Becker, Kathleen Ann can be contacted via phone (773) 553-1800.

Contact Information

Primary practice address
42 W Madison St Chicago IL 60602-4309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1861117855
LBN Legal business name Becker, Kathleen Ann
Credentials ED.S., NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2022
Last updated Oct 11th, 2022 - 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 1861117855 NPPES
Illinois Other 2572460 ISBE

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