Bullock, Monica Michelle

Bullock, Monica Michelle is an sole proprietor health care provider with primary practice located at 7712 Knotty Pine Ct , Woodridge IL 60517-2912. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bullock, Monica Michelle can be contacted via phone (773) 307-5023.

Contact Information

Primary practice address
7712 Knotty Pine Ct Woodridge IL 60517-2912
Phone: (773) 307-5023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009519 Illinois

Profile Details

NPI number 1629315288
LBN Legal business name Bullock, Monica Michelle
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2013
Last updated Mar 19th, 2024 - about 8 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629315288 NPPES
Illinois Other 180.009519 LCPC

Popular Providers