Sanford, Felicia L.

Sanford, Felicia L. is an individual health care provider with primary practice located at 339 Alana Dr , New Lenox IL 60451-1766. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sanford, Felicia L. can be contacted via phone (815) 462-3827.

Contact Information

Primary practice address
339 Alana Dr New Lenox IL 60451-1766
Phone: (815) 462-3827
Fax: (815) 462-3837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 200424A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006987 Illinois

Profile Details

NPI number 1568654168
LBN Legal business name Sanford, Felicia L.
Credentials PSYD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Feb 15th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568654168 NPPES
Illinois Other 09932429 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 200991950 BLUE CROSS BLUE SHIELD
Illinois Other 000000659707 BLUE CROSS BLUE SHIELD

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