Lopez-Corbin, Mixi

Lopez-Corbin, Mixi is an individual health care provider with primary practice located at 6501 S Promontory Dr , Chicago IL 60649-1003. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lopez-Corbin, Mixi can be contacted via phone (800) 770-2232.

Contact Information

Primary practice address
6501 S Promontory Dr Chicago IL 60649-1003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122589-SW-LICSW Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.022368 Illinois

Profile Details

NPI number 1417572603
LBN Legal business name Lopez-Corbin, Mixi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2020
Last updated Jul 21st, 2020 - about 6 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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