Ideran, Charles Michael
Ideran, Charles Michael is an individual health care provider with primary practice located at 6006 W. 159Th St Bldg. C, Oak Forest IL 60452. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ideran, Charles Michael can be contacted via phone (708) 535-7320.Contact Information
Primary practice address
6006 W. 159Th St Bldg. C
Oak Forest IL 60452
Phone: (708) 535-7320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1265446652 |
|---|---|
| LBN Legal business name | Ideran, Charles Michael |
| Credentials | D.MIN., LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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