Eagle, Lauren E
Eagle, Lauren E is an sole proprietor health care provider with primary practice located at 616 N North Ct Ste 235 , Palatine IL 60067-8182. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Eagle, Lauren E can be contacted via phone (847) 701-4144.Contact Information
Primary practice address
616 N North Ct Ste 235
Palatine IL 60067-8182
Phone: (847) 701-4144
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166.001295 | Illinois |
Profile Details
NPI number | 1730701194 |
---|---|
LBN Legal business name | Eagle, Lauren E |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2020 |
Last updated | Mar 19th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730701194 | NPPES |
Illinois | MEDICAID | 114307 |
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