De, Sujata
De, Sujata is an sole proprietor health care provider with primary practice located at 464 Greenview Dr , Park City IL 60085-4742. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De, Sujata can be contacted via phone (224) 219-6888.Contact Information
Primary practice address
464 Greenview Dr
Park City IL 60085-4742
Phone: (224) 219-6888
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.011361 | Illinois |
Profile Details
NPI number | 1952633943 |
---|---|
LBN Legal business name | De, Sujata |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2010 |
Last updated | Feb 10th, 2023 - about 2 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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