Devries, Kerry J

Devries, Kerry J is an sole proprietor health care provider with primary practice located at 1580 N Northwest Hwy Ste 125 , Park Ridge IL 60068-1470. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Devries, Kerry J can be contacted via phone (224) 707-0847.

Contact Information

Primary practice address
1580 N Northwest Hwy Ste 125 Park Ridge IL 60068-1470
Phone: (224) 707-0847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000829 Illinois

Profile Details

NPI number 1104943174
LBN Legal business name Devries, Kerry J
Credentials M.A., L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Feb 24th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104943174 NPPES
Illinois Other 1437243094 NPI GROUP NUMBER

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