Kasem, Cecilia C

Kasem, Cecilia C is an sole proprietor health care provider with primary practice located at 9697 191St St Ste 200 , Mokena IL 60448-8617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kasem, Cecilia C can be contacted via phone (630) 646-6540.

Contact Information

Primary practice address
9697 191St St Ste 200 Mokena IL 60448-8617
Phone: (630) 646-6540
Fax: (630) 646-6542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178007028 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180010798 Illinois

Profile Details

NPI number 1023438066
LBN Legal business name Kasem, Cecilia C
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2014
Last updated Mar 25th, 2024 - about last year

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 1023438066 NPPES
Illinois Other 180010798 STATE LICENSE

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