Quensen-Diez, Erica Ann
Quensen-Diez, Erica Ann is an sole proprietor health care provider with primary practice located at 24402 W Lockport Rd Suite 2B, Plainfield IL 60544-4206. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Quensen-Diez, Erica Ann can be contacted via phone (630) 401-0264.Contact Information
Primary practice address
24402 W Lockport Rd Suite 2B
Plainfield IL 60544-4206
Phone: (630) 401-0264
Fax: (815) 254-3419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1487709275 |
|---|---|
| LBN Legal business name | Quensen-Diez, Erica Ann |
| Credentials | MA, LCPC, ADTR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487709275 | NPPES |
| Illinois | Other | 0009932406 | BCBS PROVIDER NUMBER |
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