Parmelee, Kyle Wade

Parmelee, Kyle Wade is an sole proprietor health care provider with primary practice located at 1113 S Milwaukee Ave Suite 104, Libertyville IL 60048-3758. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Parmelee, Kyle Wade can be contacted via phone (847) 367-5991.

Contact Information

Primary practice address
1113 S Milwaukee Ave Suite 104 Libertyville IL 60048-3758
Phone: (847) 367-5991
Fax: (847) 367-5997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.018710 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 150015189 Illinois

Profile Details

NPI number 1396178646
LBN Legal business name Parmelee, Kyle Wade
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2013
Last updated Nov 8th, 2016 - about 9 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 1396178646 NPPES
Illinois MEDICAID 3217639118001

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