Carroll, Stacey Ann
Carroll, Stacey Ann is an sole proprietor health care provider with primary practice located at 10550 Ridgewood Dr , Palos Park IL 60464-2522. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Carroll, Stacey Ann can be contacted via phone (773) 742-9817.Contact Information
Primary practice address
10550 Ridgewood Dr
Palos Park IL 60464-2522
Phone: (773) 742-9817
Fax: (312) 506-5333
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146008234 | Illinois |
Profile Details
NPI number | 1356404552 |
---|---|
LBN Legal business name | Carroll, Stacey Ann |
Credentials | MA CCC SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2006 |
Last updated | Aug 17th, 2013 - about 12 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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