Carroccia, Eugene S.
Carroccia, Eugene S. is an individual health care provider with primary practice located at 4700 W 95Th St Suite Ll5, Oak Lawn IL 60453-2533. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carroccia, Eugene S. can be contacted via phone (800) 216-1110.Contact Information
Primary practice address
4700 W 95Th St Suite Ll5
Oak Lawn IL 60453-2533
Phone: (800) 216-1110
Fax: (708) 346-4868
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 071-006067 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006067 | Illinois |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071-006067 | Illinois |
Behavioral Health & Social Service Providers / Family | 103TF0000X | 071-006067 | Illinois |
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 071-006067 | Illinois |
Profile Details
NPI number | 1598886103 |
---|---|
LBN Legal business name | Carroccia, Eugene S. |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2007 |
Last updated | May 12th, 2009 - about 15 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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