Hardie, John Christian

Hardie, John Christian is an sole proprietor health care provider with primary practice located at 85 Revere Drive Suite 108, Chicago IL 60657. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hardie, John Christian can be contacted via phone (847) 559-9343.

Contact Information

Primary practice address
85 Revere Drive Suite 108 Chicago IL 60657
Fax: (773) 913-2395
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 071007352 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071007352 Illinois

Profile Details

NPI number 1376732255
LBN Legal business name Hardie, John Christian
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated May 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376732255 NPPES
Illinois MEDICAID $$$$$$$$$

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