Licata, Phillip Mark
Licata, Phillip Mark is an sole proprietor health care provider with primary practice located at 1000 Jorie Blvd Suite 48, Oak Brook IL 60523-2214. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Licata, Phillip Mark can be contacted via phone (847) 951-0338.Contact Information
Primary practice address
1000 Jorie Blvd Suite 48
Oak Brook IL 60523-2214
Phone: (847) 951-0338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180004784 | Illinois |
Profile Details
| NPI number | 1649493941 |
|---|---|
| LBN Legal business name | Licata, Phillip Mark |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| 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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