Kyle, Lisa Diane
Kyle, Lisa Diane is an sole proprietor health care provider with primary practice located at 615 Cowles Ave , Joliet IL 60435-5913. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kyle, Lisa Diane can be contacted via phone (815) 685-6757.Contact Information
Primary practice address
615 Cowles Ave
Joliet IL 60435-5913
Phone: (815) 685-6757
Fax: (815) 846-2529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Illinois |
Profile Details
| NPI number | 1720294507 |
|---|---|
| LBN Legal business name | Kyle, Lisa Diane |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720294507 | NPPES |
| Illinois | Other | 09932495 | BCBS PROVIDER |
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