Kelley, Vincent J
Kelley, Vincent J is an sole proprietor health care provider with primary practice located at 1422 N Bridgeport Dr , Mount Prospect IL 60056-1002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelley, Vincent J can be contacted via phone (847) 259-6899.Contact Information
Primary practice address
1422 N Bridgeport Dr
Mount Prospect IL 60056-1002
Phone: (847) 259-6899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.011787 | Illinois |
Profile Details
| NPI number | 1427214097 |
|---|---|
| LBN Legal business name | Kelley, Vincent J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2008 |
| Last updated | Aug 4th, 2008 - 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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