Nallen, Marylou
Nallen, Marylou is an individual health care provider with primary practice located at 708 Florsheim Dr Suite 13, Libertyville IL 60048-5001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nallen, Marylou can be contacted via phone (847) 561-2397.Contact Information
Primary practice address
708 Florsheim Dr Suite 13
Libertyville IL 60048-5001
Phone: (847) 561-2397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071007149 | Illinois |
Profile Details
| NPI number | 1205936952 |
|---|---|
| LBN Legal business name | Nallen, Marylou |
| Credentials | PSYD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Aug 25th, 2015 - about 11 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 | 1205936952 | NPPES |
| Illinois | Other | 4932686 | BCBS |
Popular Providers
-
Behrends, Kelly J
1248 American Way Suite B, Libertyville IL 60048-3936 -
Botkin, Allan L.
1144 Harms Ave , Libertyville IL 60048-2524 -
Pechota, Margaret
128 Newberry Ave , Libertyville IL 60048-1923 -
Weber, Richard Phillip
1105 W Park Ave Suite 2, Libertyville IL 60048-2567 -
Shackelford, James Hubert
1113 S Milwaukee Ave Ste 104, Libertyville IL 60048-3758 -
Solomon, Mark
128 Newberry Ave , Libertyville IL 60048-1923 -
Shakhman, Marina
1800 Hollister Dr Ste 201 , Libertyville IL 60048-5266 -
Priola, Victoria
1641 N Milwaukee Ave , Libertyville IL 60048-1350