Matook, Cynthia L
Matook, Cynthia L is an individual health care provider with primary practice located at 1341 Warren Ave , Downers Grove IL 60515-3437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matook, Cynthia L can be contacted via phone (630) 719-5454.Contact Information
Primary practice address
1341 Warren Ave
Downers Grove IL 60515-3437
Phone: (630) 719-5454
Fax: (630) 719-1263
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.004992 | Illinois |
Profile Details
NPI number | 1962458125 |
---|---|
LBN Legal business name | Matook, Cynthia L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Dec 30th, 2021 - about 3 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 | 1962458125 | NPPES |
Illinois | Other | 149.004992 | LICENSE |
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