Connell, Michael

Connell, Michael is an sole proprietor health care provider with primary practice located at 3375 Commercial Ave Ste 10 , Northbrook IL 60062-1908. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Connell, Michael can be contacted via phone (312) 438-8654.

Contact Information

Primary practice address
3375 Commercial Ave Ste 10 Northbrook IL 60062-1908
Phone: (312) 438-8654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 106001254 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 208000367 Illinois

Profile Details

NPI number 1245768647
LBN Legal business name Connell, Michael
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2017
Last updated Jan 9th, 2019 - about 5 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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