Brzostowski, Mari
Brzostowski, Mari is an individual health care provider with primary practice located at 3436 N Kennicott Ave , Arlington Heights IL 60004-7814. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brzostowski, Mari can be contacted via phone (847) 952-7460.Contact Information
Primary practice address
3436 N Kennicott Ave
Arlington Heights IL 60004-7814
Phone: (847) 952-7460
Fax: (847) 222-1754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-005698 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180005698 | Illinois |
Profile Details
| NPI number | 1023110327 |
|---|---|
| LBN Legal business name | Brzostowski, Mari |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 2nd, 2020 - about 4 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 | 1023110327 | NPPES |
| Other | 36-3045007 | TAX ID# |
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