Qandeel-Kishta, Heba I

Qandeel-Kishta, Heba I is an sole proprietor health care provider with primary practice located at 7625 Brookside Glen Dr , Tinley Park IL 60487-5197. She recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Emergency Medical Service Providers / Emergency Medical Technician, Basic, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter, Other Service Providers / Contractor, Other Service Providers / Graphics Designer, Other Service Providers / Research Study, Agencies / Community/Behavioral Health, Nursing Service Related Providers / Adult Companion, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Qandeel-Kishta, Heba I can be contacted via phone (312) 371-9222.

Contact Information

Primary practice address
7625 Brookside Glen Dr Tinley Park IL 60487-5197
Phone: (312) 371-9222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Graphics Designer 1744G0900X
Other Service Providers / Research Study 1744R1102X
Agencies / Community/Behavioral Health 251S00000X
Nursing Service Related Providers / Adult Companion 372600000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 33823 Illinois

Profile Details

NPI number 1326816240
LBN Legal business name Qandeel-Kishta, Heba I
Credentials MA, CADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2023
Last updated Dec 20th, 2023 - about last year

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 1326816240 NPPES
Illinois MEDICAID 156547002

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