Marlys A Conrad Phd Llc

LBN: Marlys A Conrad Phd Llc
Marlys A Conrad Phd Llc is an health care organization with primary practice located at 918 Michigan Ave Apt 1, Evanston IL 60202-1494. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Marlys A Conrad Phd Llc can be contacted via phone (847) 624-7446, or through Conrad, Marlys A via phone (847) 624-7446.

Contact Information

Primary practice address
918 Michigan Ave Apt 1 Evanston IL 60202-1494
Phone: (847) 624-7446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Marlys A PHD
Phone: (847) 624-7446

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 071003676 Illinois

Profile Details

NPI number 1821467218
LBN Legal business name Marlys A Conrad Phd Llc
DBA Doing business as
Authorized official Conrad, Marlys A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821467218 NPPES
Illinois Other 071003676 ILLINOIS LICENSE

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