Mccardell-Wentworth, Heidi

Mccardell-Wentworth, Heidi is an sole proprietor health care provider with primary practice located at 1010 Jorie Blvd Ste 366 , Oak Brook IL 60523-4476. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccardell-Wentworth, Heidi can be contacted via phone (630) 849-4350.

Contact Information

Primary practice address
1010 Jorie Blvd Ste 366 Oak Brook IL 60523-4476
Phone: (630) 849-4350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X 1203 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180010625 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X 258132

Profile Details

NPI number 1225321052
LBN Legal business name Mccardell-Wentworth, Heidi
Credentials LCPC, NCC, BC-DMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2011
Last updated Apr 6th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225321052 NPPES
Illinois Other 1346402302 BLUE CROSS BLUE SHIELD

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