Gustafson, Andrea Lynn

Gustafson, Andrea Lynn is an individual health care provider with primary practice located at 1180 Marcella Ln , West Chicago IL 60185-5050. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gustafson, Andrea Lynn can be contacted via phone (708) 977-9766.

Contact Information

Primary practice address
1180 Marcella Ln West Chicago IL 60185-5050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146007513 Illinois

Profile Details

NPI number 1427556224
LBN Legal business name Gustafson, Andrea Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2018
Last updated Jan 26th, 2018 - about 7 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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