Haynes, Larry

Haynes, Larry is an sole proprietor health care provider with primary practice located at 9697 191St St , Mokena IL 60448-8609. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Haynes, Larry can be contacted via phone (312) 815-9660.

Contact Information

Primary practice address
9697 191St St Mokena IL 60448-8609
Phone: (312) 815-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1487388963
LBN Legal business name Haynes, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - 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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