Burns, Carolyn Guerra
Burns, Carolyn Guerra is an individual health care provider with primary practice located at 200 Ravinia , Orland Park IL 60527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burns, Carolyn Guerra can be contacted via phone (708) 460-1212.Contact Information
Primary practice address
200 Ravinia
Orland Park IL 60527
Phone: (708) 460-1212
Fax: (708) 460-8396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1114022506 |
|---|---|
| LBN Legal business name | Burns, Carolyn Guerra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114022506 | NPPES |
| Illinois | Other | 01635321 | BCBS |
| Illinois | Other | 9387142 | BCBS |
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