Conklin-Danao, Deanna Lyn
Conklin-Danao, Deanna Lyn is an sole proprietor health care provider with primary practice located at 7101 N Cicero Ave Suite 203, Lincolnwood IL 60712-2112. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conklin-Danao, Deanna Lyn can be contacted via phone (312) 493-2628.Contact Information
Primary practice address
7101 N Cicero Ave Suite 203
Lincolnwood IL 60712-2112
Phone: (312) 493-2628
Fax: (847) 983-4783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006438 | Illinois |
Profile Details
| NPI number | 1346387487 |
|---|---|
| LBN Legal business name | Conklin-Danao, Deanna Lyn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346387487 | NPPES |
| Illinois | Other | 1636778 | BCBS OF IL PPO PROVIDER |
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