Carlsen, John Theodore

Carlsen, John Theodore is an individual health care provider with primary practice located at 333 S State Street Revenue #200 Chicago Department Of Public Health, Chicago IL 60604. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carlsen, John Theodore can be contacted via phone (312) 747-9442.

Contact Information

Primary practice address
333 S State Street Revenue #200 Chicago Department Of Public Health Chicago IL 60604
Phone: (312) 747-9442
Fax: (312) 747-9447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1467428037
LBN Legal business name Carlsen, John Theodore
Credentials PSCYHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 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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