Bolnick, Richard Neal

Bolnick, Richard Neal is an sole proprietor health care provider with primary practice located at 977 Lakeview Pkwy Suite 110, Vernon Hills IL 60061-1400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bolnick, Richard Neal can be contacted via phone (847) 549-6650.

Contact Information

Primary practice address
977 Lakeview Pkwy Suite 110 Vernon Hills IL 60061-1400
Phone: (847) 549-6650
Fax: (847) 549-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-003331 Illinois

Profile Details

NPI number 1164402798
LBN Legal business name Bolnick, Richard Neal
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated May 20th, 2008 - about 16 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 1164402798 NPPES
Illinois Other 4205873 AETNA PIN #
Illinois Other 4932066 AETNA PIN #
Illinois Other 459034000 AETNA PIN #

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