Lilly, Michelle Marie

Lilly, Michelle Marie is an sole proprietor health care provider with primary practice located at 2S504 Ashley Dr , Glen Ellyn IL 60137-6939. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lilly, Michelle Marie can be contacted via phone (630) 696-2443.

Contact Information

Primary practice address
2S504 Ashley Dr Glen Ellyn IL 60137-6939
Phone: (630) 696-2443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007793 Illinois

Profile Details

NPI number 1811147499
LBN Legal business name Lilly, Michelle Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2008
Last updated Jun 11th, 2019 - about 5 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 1811147499 NPPES
Illinois Other 071.007793 LICENSED PSYCHOLOGIST

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