Mirell, Philip Norman

Mirell, Philip Norman is an individual health care provider with primary practice located at 202 West Park Sttreet Mental Health Center, Champaign IL 61820. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mirell, Philip Norman can be contacted via phone (217) 373-2430.

Contact Information

Primary practice address
202 West Park Sttreet Mental Health Center Champaign IL 61820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1417011057
LBN Legal business name Mirell, Philip Norman
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 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.

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