Cantor, Audrey
Cantor, Audrey is an sole proprietor health care provider with primary practice located at 105 Wellington Rd , Northbrook IL 60062-1337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cantor, Audrey can be contacted via phone (847) 207-4384.Contact Information
Primary practice address
105 Wellington Rd
Northbrook IL 60062-1337
Phone: (847) 207-4384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-000520 | Illinois |
Profile Details
| NPI number | 1154454684 |
|---|---|
| LBN Legal business name | Cantor, Audrey |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 28th, 2014 - about 10 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 | 1154454684 | NPPES |
| Illinois | Other | 149-000520 | LCSW |
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