Gordon, Virginia Klein
Gordon, Virginia Klein is an sole proprietor health care provider with primary practice located at 464 Central Ave , Northfield IL 60093-3040. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Virginia Klein can be contacted via phone (847) 433-5133.Contact Information
Primary practice address
464 Central Ave
Northfield IL 60093-3040
Phone: (847) 433-5133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002571 | Illinois |
Profile Details
| NPI number | 1013918465 |
|---|---|
| LBN Legal business name | Gordon, Virginia Klein |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 22nd, 2014 - about 10 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 | 1013918465 | NPPES |
| Illinois | Other | 671245 | BC/BS |
| Illinois | Other | 2817317 | BC/BS |
| Illinois | Other | 1935588 | BC/BS |
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