Gaeta, Mary Elizabeth

Gaeta, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 7249 W Kiowa Ln , Palos Heights IL 60463-2611. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaeta, Mary Elizabeth can be contacted via phone (708) 990-8724.

Contact Information

Primary practice address
7249 W Kiowa Ln Palos Heights IL 60463-2611
Phone: (708) 990-8724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.015530 Illinois

Profile Details

NPI number 1578697868
LBN Legal business name Gaeta, Mary Elizabeth
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Oct 24th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578697868 NPPES
Indiana Other 352196512 TAX ID

Popular Providers