Bristor, Cheryl Denise
Bristor, Cheryl Denise is an sole proprietor health care provider with primary practice located at 3637 W 125Th St , Alsip IL 60803-1082. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bristor, Cheryl Denise can be contacted via phone (708) 824-1446.Contact Information
Primary practice address
3637 W 125Th St
Alsip IL 60803-1082
Phone: (708) 824-1446
Fax: (708) 824-1446
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 13907 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
NPI number | 1518974302 |
---|---|
LBN Legal business name | Bristor, Cheryl Denise |
Credentials | LCSW, CADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 2nd, 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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