Fallon, Kevin

Fallon, Kevin is an individual health care provider with primary practice located at 7442 Harrison St , Forest Park IL 60130-2019. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fallon, Kevin can be contacted via phone (708) 309-2943.

Contact Information

Primary practice address
7442 Harrison St Forest Park IL 60130-2019
Phone: (708) 309-2943
Fax: (708) 771-1682
Website:
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Health care specialties

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

Profile Details

NPI number 1477603405
LBN Legal business name Fallon, Kevin
Credentials L.C.S.W., C.A.D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
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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