Prince, Aeba T

Prince, Aeba T is an individual health care provider with primary practice located at 80 Biesterfield Rd , Elk Grove Village IL 60007-3668. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Prince, Aeba T can be contacted via phone (800) 974-4378.

Contact Information

Primary practice address
80 Biesterfield Rd Elk Grove Village IL 60007-3668
Phone: (800) 974-4378
Fax: (630) 515-1536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.013747 Illinois

Profile Details

NPI number 1568592822
LBN Legal business name Prince, Aeba T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 12th, 2024 - about 10 months 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 1568592822 NPPES
Illinois Other 070.013747 STATE OF ILLINOIS LICENSE

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