Born, Eric

Born, Eric is an individual health care provider with primary practice located at 1600 Eagle Way , Lake Villa IL 60046-7477. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Born, Eric can be contacted via phone (847) 838-7109.

Contact Information

Primary practice address
1600 Eagle Way Lake Villa IL 60046-7477
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 869241 Illinois

Profile Details

NPI number 1639735137
LBN Legal business name Born, Eric
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2019
Last updated May 10th, 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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