Lara, Vanessa

Lara, Vanessa is an individual health care provider with primary practice located at 5705 Willow Springs Rd , Countryside IL 60525-3478. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lara, Vanessa can be contacted via phone (312) 965-2997.

Contact Information

Primary practice address
5705 Willow Springs Rd Countryside IL 60525-3478
Phone: (312) 965-2997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508526195
LBN Legal business name Lara, Vanessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2021
Last updated Dec 22nd, 2021 - about 4 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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