Kowalczyk, Debra Ann

Kowalczyk, Debra Ann is an individual health care provider with primary practice located at 1 E Northwest Hwy Suite 212, Palatine IL 60067-1708. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kowalczyk, Debra Ann can be contacted via phone (708) 280-6538.

Contact Information

Primary practice address
1 E Northwest Hwy Suite 212 Palatine IL 60067-1708
Phone: (708) 280-6538
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1538129036
LBN Legal business name Kowalczyk, Debra Ann
Credentials M.A., LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538129036 NPPES
Illinois Other 01633892 BC/BS ID NUMBER

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