Black, Lorraine
Black, Lorraine is an sole proprietor health care provider with primary practice located at 1427 Acorn Dr , North Chicago IL 60064-1764. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Black, Lorraine can be contacted via phone (708) 522-7150.Contact Information
Primary practice address
1427 Acorn Dr
North Chicago IL 60064-1764
Phone: (708) 522-7150
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Doula | 374J00000X | Illinois |
Profile Details
NPI number | 1942925847 |
---|---|
LBN Legal business name | Black, Lorraine |
Credentials | BCD, CBE, PE, SBD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2022 |
Last updated | Oct 4th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942925847 | NPPES |
Illinois | MEDICAID | 88-1904965 |
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