Stall, Kenneth J
Stall, Kenneth J is an sole proprietor health care provider with primary practice located at 1117 S Milwaukee Ave , Libertyville IL 60048-3798. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stall, Kenneth J can be contacted via phone (847) 367-6900.Contact Information
Primary practice address
1117 S Milwaukee Ave
Libertyville IL 60048-3798
Phone: (847) 367-6900
Fax: (847) 816-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1245344837 |
|---|---|
| LBN Legal business name | Stall, Kenneth J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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