Stark, Jill Susan
Stark, Jill Susan is an sole proprietor health care provider with primary practice located at 2293 Avalon Dr , Buffalo Grove IL 60089-4688. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Stark, Jill Susan can be contacted via phone (847) 275-3482.Contact Information
Primary practice address
2293 Avalon Dr
Buffalo Grove IL 60089-4688
Phone: (847) 275-3482
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1538371786 |
|---|---|
| LBN Legal business name | Stark, Jill Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| 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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