Black, Sharon Kim

Black, Sharon Kim is an sole proprietor health care provider with primary practice located at 715 Lake St Suite 706, Oak Park IL 60301-1422. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Black, Sharon Kim can be contacted via phone (773) 991-6375.

Contact Information

Primary practice address
715 Lake St Suite 706 Oak Park IL 60301-1422
Phone: (773) 991-6375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.004472 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071.009658 Illinois

Profile Details

NPI number 1407094915
LBN Legal business name Black, Sharon Kim
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2009
Last updated Nov 4th, 2019 - about 5 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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