Lyles Lynn, Josephine M
Lyles Lynn, Josephine M is an individual health care provider with primary practice located at 1024 N Boulevard Suite 211, Oak Park IL 60301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lyles Lynn, Josephine M can be contacted via phone (708) 606-0984.Contact Information
Primary practice address
1024 N Boulevard Suite 211
Oak Park IL 60301
Phone: (708) 606-0984
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1013030048 |
|---|---|
| LBN Legal business name | Lyles Lynn, Josephine M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013030048 | NPPES |
| Illinois | Other | 01634783 | BLUE CROSS BLUE SHIELD |
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