Moulchin, Amanda

Moulchin, Amanda is an individual health care provider with primary practice located at 1600 Eagle Way , Lake Villa IL 60046-7477. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Moulchin, Amanda can be contacted via phone (847) 395-9423.

Contact Information

Primary practice address
1600 Eagle Way Lake Villa IL 60046-7477
Phone: (847) 395-9423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1136070 Illinois

Profile Details

NPI number 1811553316
LBN Legal business name Moulchin, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2019
Last updated May 10th, 2019 - 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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