Douglas, Elizabeth Ann

Douglas, Elizabeth Ann is an individual health care provider with primary practice located at Roosevelt &5Th Ave. , Hines IL 60141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Elizabeth Ann can be contacted via phone (708) 202-3639.

Contact Information

Primary practice address
Roosevelt &5Th Ave. Hines IL 60141
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1154378081
LBN Legal business name Douglas, Elizabeth Ann
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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