Clark, Stephanie Borjas

Clark, Stephanie Borjas is an sole proprietor health care provider with primary practice located at 1422 W Willow St , Chicago IL 60642-8978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Clark, Stephanie Borjas can be contacted via phone (773) 998-8500.

Contact Information

Primary practice address
1422 W Willow St Chicago IL 60642-8978
Phone: (773) 998-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301017737 Michigan
Behavioral Health & Social Service Providers / School 103TS0200X 2384697 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071010393 Illinois

Profile Details

NPI number 1881262863
LBN Legal business name Clark, Stephanie Borjas
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2021
Last updated Aug 31st, 2022 - about 3 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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