Lavin, James

Lavin, James is an sole proprietor health care provider with primary practice located at 72 S La Grange Rd Suite #3, La Grange IL 60525-2475. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lavin, James can be contacted via phone (708) 642-3300.

Contact Information

Primary practice address
72 S La Grange Rd Suite #3 La Grange IL 60525-2475
Phone: (708) 642-3300
Fax: (708) 246-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1851403000
LBN Legal business name Lavin, James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 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 1851403000 NPPES
Illinois Other 190064 VALUE OPTIONS PROV.#
Illinois Other 231022 VALUE OPTIONS PROV.#
Illinois Other 1671179 VALUE OPTIONS PROV.#

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