Chiariello, Samantha Lynn

Chiariello, Samantha Lynn is an sole proprietor health care provider with primary practice located at 16325 Harlem Ave Suite 200, Tinley Park IL 60477-2509. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chiariello, Samantha Lynn can be contacted via phone (708) 689-4684.

Contact Information

Primary practice address
16325 Harlem Ave Suite 200 Tinley Park IL 60477-2509
Phone: (708) 689-4684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.006929 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007988 Illinois

Profile Details

NPI number 1861640393
LBN Legal business name Chiariello, Samantha Lynn
Credentials PSY.D., L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Nov 23rd, 2011 - about 13 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 1861640393 NPPES
Illinois Other 01623882 BCBS

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