Greenbank, Mallory
Greenbank, Mallory is an individual health care provider with primary practice located at 18 N Catherine Ave , La Grange IL 60525-5930. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Greenbank, Mallory can be contacted via phone (708) 482-9453.Contact Information
Primary practice address
18 N Catherine Ave
La Grange IL 60525-5930
Phone: (708) 482-9453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-57879 | Illinois |
Profile Details
| NPI number | 1427620186 |
|---|---|
| LBN Legal business name | Greenbank, Mallory |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2021 |
| Last updated | Apr 27th, 2022 - about 2 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.
Popular Providers
-
Burke, Danielle
18 N Catherine Ave , La Grange IL 60525-5930 -
Montalvo, Jessica
306 N Kensington Ave , La Grange Park IL 60526-1870 -
Jeffrey, Mary
18 N Catherine Ave , La Grange IL 60525-5930 -
Daniher, Mary Kathleen
18 N Catherine Ave , La Grange IL 60525-5930 -
Squillo, Jenna R.
18 N Catherine Ave , La Grange IL 60525-5930 -
Rambeau, Michelle
306 N Kensington Ave , La Grange Park IL 60526-1870 -
Wartan, Cheryl
18 N Catherine Ave , La Grange IL 60525-5930 -
Deang, Erelin M
306 N. Kensington Ave. , La Grange Park IL 60526