Mayworm, Christine

Mayworm, Christine is an sole proprietor health care provider with primary practice located at 150 Blueberry Rd , Libertyville IL 60048-2167. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Mayworm, Christine can be contacted via phone (847) 816-0013.

Contact Information

Primary practice address
150 Blueberry Rd Libertyville IL 60048-2167
Phone: (847) 816-0013
Fax: (847) 680-3311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X CM08170993P Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois

Profile Details

NPI number 1972713022
LBN Legal business name Mayworm, Christine
Credentials DTH, PSYCHOLOGY
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972713022 NPPES
Illinois Other CM08170993P EARLY INTERVENTION NUMBER

Popular Providers