Skinner, Lyle

Skinner, Lyle is an individual health care provider with primary practice located at 227 S 2Nd St , Geneva IL 60134-2713. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Skinner, Lyle can be contacted via phone (630) 232-2458.

Contact Information

Primary practice address
227 S 2Nd St Geneva IL 60134-2713
Phone: (630) 232-2458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007295 Illinois

Profile Details

NPI number 1730391467
LBN Legal business name Skinner, Lyle
Credentials PSYD, LCP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Feb 6th, 2008 - about 16 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 1730391467 NPPES
Illinois Other 0004532166 BCBSIL

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