Keller, Michelle Marie

Keller, Michelle Marie is an individual health care provider with primary practice located at 3317 W 95Th St , Evergreen Park IL 60805-2243. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Keller, Michelle Marie can be contacted via phone (708) 529-3011.

Contact Information

Primary practice address
3317 W 95Th St Evergreen Park IL 60805-2243
Phone: (708) 529-3011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178012122 Illinois

Profile Details

NPI number 1295273852
LBN Legal business name Keller, Michelle Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2017
Last updated Feb 3rd, 2017 - about 7 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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