Cordova, Noel
Cordova, Noel is an sole proprietor health care provider with primary practice located at 4419 W North Ave , Melrose Park IL 60160-1021. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cordova, Noel can be contacted via phone (773) 777-7112.Contact Information
Primary practice address
4419 W North Ave
Melrose Park IL 60160-1021
Phone: (773) 777-7112
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 32131 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.011077 | Illinois |
Profile Details
NPI number | 1144685082 |
---|---|
LBN Legal business name | Cordova, Noel |
Credentials | CADC, LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2015 |
Last updated | Dec 18th, 2015 - about 9 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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