Petrillo, Kristen M

Petrillo, Kristen M is an sole proprietor health care provider with primary practice located at 2520 N Washtenaw Ave First Floor, Chicago IL 60647-1816. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Petrillo, Kristen M can be contacted via phone (773) 513-7720.

Contact Information

Primary practice address
2520 N Washtenaw Ave First Floor Chicago IL 60647-1816
Phone: (773) 513-7720
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1295957447
LBN Legal business name Petrillo, Kristen M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jun 10th, 2009 - about 16 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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