Carl, Jo Ellen
Carl, Jo Ellen is an sole proprietor health care provider with primary practice located at 110 Mooney Dr Suite #1, Bourbonnais IL 60914-2171. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carl, Jo Ellen can be contacted via phone (815) 933-7887.Contact Information
Primary practice address
110 Mooney Dr Suite #1
Bourbonnais IL 60914-2171
Phone: (815) 933-7887
Fax: (815) 933-7870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1750352043 |
|---|---|
| LBN Legal business name | Carl, Jo Ellen |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 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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