Hassan, Bonnie
Hassan, Bonnie is an individual health care provider with primary practice located at 1361 E Lincoln Hwy , New Lenox IL 60451-2153. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hassan, Bonnie can be contacted via phone (815) 462-4273.Contact Information
Primary practice address
1361 E Lincoln Hwy
New Lenox IL 60451-2153
Phone: (815) 462-4273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180008045 | Illinois |
Profile Details
| NPI number | 1629260567 |
|---|---|
| LBN Legal business name | Hassan, Bonnie |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Nov 16th, 2018 - about 6 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 | 1629260567 | NPPES |
| Illinois | Other | 09932455 | BLUE CROSS BLUE SHIELD |
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