Blacconiere, Michael J

Blacconiere, Michael J is an individual health care provider with primary practice located at Hines Va Hospital 5Th Ave & Roosevelt Rd, Hines IL 60141. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blacconiere, Michael J can be contacted via phone (708) 202-2656.

Contact Information

Primary practice address

Hines Va Hospital 5Th Ave & Roosevelt Rd Hines IL 60141

Phone: (708) 202-2656

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	103TC0700X	71004033	Illinois

Profile Details

NPI number	1801977269
LBN Legal business name	Blacconiere, Michael J
Credentials	PH.D.
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 18th, 2006
Last updated	Jul 8th, 2007 - about 17 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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