Mestemaker, Tonya Marie
Mestemaker, Tonya Marie is an sole proprietor health care provider with primary practice located at 900 N Shore Dr Suite 174, Lake Bluff IL 60044-2243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mestemaker, Tonya Marie can be contacted via phone (773) 383-7700.Contact Information
Primary practice address
900 N Shore Dr Suite 174
Lake Bluff IL 60044-2243
Phone: (773) 383-7700
Fax: (847) 615-1697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1659460715 |
|---|---|
| LBN Legal business name | Mestemaker, Tonya Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659460715 | NPPES |
| Illinois | Other | 04932470 | BCBS PROVIDER NUMBER |
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