Degrazia, Mary E

Degrazia, Mary E is an individual health care provider with primary practice located at 316 1/2 Main St , Evanston IL 60202-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Degrazia, Mary E can be contacted via phone (847) 864-0837.

Contact Information

Primary practice address
316 1/2 Main St Evanston IL 60202-1808
Fax: (847) 864-6516
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1801071295
LBN Legal business name Degrazia, Mary E
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 16 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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