Fortin, Ilene

Fortin, Ilene is an individual health care provider with primary practice located at 819 Busse Hwy , Park Ridge IL 60068-2360. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Fortin, Ilene can be contacted via phone (847) 696-1570.

Contact Information

Primary practice address
819 Busse Hwy Park Ridge IL 60068-2360
Phone: (847) 696-1570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1710288683
LBN Legal business name Fortin, Ilene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2010
Last updated Nov 9th, 2010 - about 15 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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