Mirutenko, Roma

Mirutenko, Roma is an sole proprietor health care provider with primary practice located at 820 Davis St Suite 455, Evanston IL 60201-4431. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mirutenko, Roma can be contacted via phone (708) 288-7547.

Contact Information

Primary practice address
820 Davis St Suite 455 Evanston IL 60201-4431
Phone: (708) 288-7547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Illinois

Profile Details

NPI number 1124408323
LBN Legal business name Mirutenko, Roma
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2015
Last updated Jun 2nd, 2015 - about 10 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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