Dillon, Charlotte Ann

Dillon, Charlotte Ann is an sole proprietor health care provider with primary practice located at 412 N Lake St Suite 204 Gateway Professional Services, Aurora IL 60506-4106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dillon, Charlotte Ann can be contacted via phone (630) 896-2337.

Contact Information

Primary practice address
412 N Lake St Suite 204 Gateway Professional Services Aurora IL 60506-4106
Phone: (630) 896-2337
Fax: (630) 896-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004310 Illinois

Profile Details

NPI number 1326114562
LBN Legal business name Dillon, Charlotte Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Oct 19th, 2012 - about 13 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 1326114562 NPPES
Illinois Other 4572030 BC BS OF ILLINOIS
Illinois Other 4515275 BC BS OF ILLINOIS

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