Couch, Deborah Lynn

Couch, Deborah Lynn is an individual health care provider with primary practice located at 2160 S First Ave Fahey Bldg., Rm. 222, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Couch, Deborah Lynn can be contacted via phone (708) 216-3750.

Contact Information

Primary practice address
2160 S First Ave Fahey Bldg., Rm. 222 Maywood IL 60153
Phone: (708) 216-3750
Fax: (708) 216-6840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36066690 Illinois

Profile Details

NPI number 1639146368
LBN Legal business name Couch, Deborah Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 27th, 2020 - about 4 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 1639146368 NPPES
Illinois MEDICAID 36066690

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