Lake, Donita Michelle

Lake, Donita Michelle is an sole proprietor health care provider with primary practice located at 11225 Front St , Mokena IL 60448-1303. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lake, Donita Michelle can be contacted via phone (708) 537-7332.

Contact Information

Primary practice address
11225 Front St Mokena IL 60448-1303
Phone: (708) 537-7332
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1710695531
LBN Legal business name Lake, Donita Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2022
Last updated Nov 10th, 2022 - about 3 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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