Carson, Veronica

Carson, Veronica is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Carson, Veronica can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
1620 N La Salle Dr Chicago IL 60614-6005
Phone: (312) 943-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X Illinois

Profile Details

NPI number 1558487819
LBN Legal business name Carson, Veronica
Credentials STA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558487819 NPPES
Illinois MEDICAID 103034

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