Eisenberg, Diane Meck
Eisenberg, Diane Meck is an individual health care provider with primary practice located at 830 S Addison Ave , Villa Park IL 60181-2877. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Eisenberg, Diane Meck can be contacted via phone (630) 620-4433.Contact Information
Primary practice address
830 S Addison Ave
Villa Park IL 60181-2877
Phone: (630) 620-4433
Fax: (630) 620-1148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Illinois |
Profile Details
| NPI number | 1164527982 |
|---|---|
| LBN Legal business name | Eisenberg, Diane Meck |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1164527982 | NPPES |
| Illinois | MEDICAID | 652606847001 |
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