Shaw, Tonya Lyn

Shaw, Tonya Lyn is an individual health care provider with primary practice located at 121 E Grand Ave , Lake Villa IL 60046-7829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaw, Tonya Lyn can be contacted via phone (847) 377-8386.

Contact Information

Primary practice address
121 E Grand Ave Lake Villa IL 60046-7829
Phone: (847) 377-8386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 150.011040 Illinois

Profile Details

NPI number 1083996870
LBN Legal business name Shaw, Tonya Lyn
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2011
Last updated Sep 16th, 2011 - 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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