Heraty, John Thomas

Heraty, John Thomas is an sole proprietor health care provider with primary practice located at 5301 Dempster St Suite 205, Skokie IL 60077-1846. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Heraty, John Thomas can be contacted via phone (847) 508-3638.

Contact Information

Primary practice address
5301 Dempster St Suite 205 Skokie IL 60077-1846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1790839116
LBN Legal business name Heraty, John Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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