Kusinski, Dawn Marie

Kusinski, Dawn Marie is an individual health care provider with primary practice located at 19235 Wolf Rd Ste 140 , Mokena IL 60448-2062. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kusinski, Dawn Marie can be contacted via phone (815) 333-4032.

Contact Information

Primary practice address
19235 Wolf Rd Ste 140 Mokena IL 60448-2062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180010105 Illinois

Profile Details

NPI number 1588092894
LBN Legal business name Kusinski, Dawn Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2013
Last updated Jul 1st, 2020 - about 5 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 1588092894 NPPES
Illinois Other 47-2918608 PRIVATE PRACTICE OFFICE

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