Carson, Esmeralda Mercedes

Carson, Esmeralda Mercedes is an individual health care provider with primary practice located at 11560 S Kedzie Ave Ste 200 , Merrionette Park IL 60803-4517. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Carson, Esmeralda Mercedes can be contacted via phone (708) 974-5800.

Contact Information

Primary practice address
11560 S Kedzie Ave Ste 200 Merrionette Park IL 60803-4517
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1851072177
LBN Legal business name Carson, Esmeralda Mercedes
Credentials RSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2023
Last updated Jul 28th, 2023 - about 2 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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