Shine Duck, Ann W.
Shine Duck, Ann W. is an sole proprietor health care provider with primary practice located at 545 Lincoln Ave Suite 3, Winnetka IL 60093-2349. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shine Duck, Ann W. can be contacted via phone (847) 757-9077.Contact Information
Primary practice address
545 Lincoln Ave Suite 3
Winnetka IL 60093-2349
Phone: (847) 757-9077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180001295 | Illinois |
Profile Details
NPI number | 1801947601 |
---|---|
LBN Legal business name | Shine Duck, Ann W. |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
Last updated | Nov 7th, 2016 - about 9 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 | 1801947601 | NPPES |
Illinois | Other | 04908129 | BLUE CROSS BLUE SHIELD |
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