Dombeck, Kathleen Susan

Dombeck, Kathleen Susan is an sole proprietor health care provider with primary practice located at 7247 Chandan Blvd , Machesney Park IL 61115-7660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dombeck, Kathleen Susan can be contacted via phone (630) 981-4330.

Contact Information

Primary practice address
7247 Chandan Blvd Machesney Park IL 61115-7660
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.014659 Illinois

Profile Details

NPI number 1043561772
LBN Legal business name Dombeck, Kathleen Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2012
Last updated Sep 20th, 2012 - about 12 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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