Mahoney, Cornelius D
Mahoney, Cornelius D is an individual health care provider with primary practice located at 900 North Shore Dr Ste 200, Lake Bluff IL 60044-2243. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mahoney, Cornelius D can be contacted via phone (847) 295-0340.Contact Information
Primary practice address
900 North Shore Dr Ste 200
Lake Bluff IL 60044-2243
Phone: (847) 295-0340
Fax: (847) 295-0351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003138 | Illinois |
Profile Details
| NPI number | 1003895657 |
|---|---|
| LBN Legal business name | Mahoney, Cornelius D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 2nd, 2014 - about 10 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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