Mattax, Elizabeth Rose

Mattax, Elizabeth Rose is an sole proprietor health care provider with primary practice located at 540 Ferdinand Ave , Forest Park IL 60130-1889. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mattax, Elizabeth Rose can be contacted via phone (708) 714-3200.

Contact Information

Primary practice address
540 Ferdinand Ave Forest Park IL 60130-1889
Phone: (708) 714-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180002222 Illinois

Profile Details

NPI number 1386787026
LBN Legal business name Mattax, Elizabeth Rose
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 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.

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