Risolo, Theresa C
Risolo, Theresa C is an sole proprietor health care provider with primary practice located at 7055 Veterans Blvd Ste C , Burr Ridge IL 60527-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Risolo, Theresa C can be contacted via phone (708) 246-2637.Contact Information
Primary practice address
7055 Veterans Blvd Ste C
Burr Ridge IL 60527-5641
Phone: (708) 246-2637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-003688 | Illinois |
Profile Details
| NPI number | 1861403511 |
|---|---|
| LBN Legal business name | Risolo, Theresa C |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Oct 24th, 2023 - about 2 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 | 1861403511 | NPPES |
| Illinois | Other | IL 071-003688 | LICENSE |
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