Opat, Judith A

Opat, Judith A is an individual health care provider with primary practice located at 2525 S Michigan Ave B-390, Chicago IL 60616-2333. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Opat, Judith A can be contacted via phone (312) 567-6691.

Contact Information

Primary practice address
2525 S Michigan Ave B-390 Chicago IL 60616-2333
Phone: (312) 567-6691
Fax: (312) 328-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1578548046
LBN Legal business name Opat, Judith A
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578548046 NPPES
Illinois Other 01621679 BCBS OF IL

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