Stephenson, Diane
Stephenson, Diane is an individual health care provider with primary practice located at 1101 Lake St Ste 405H, Oak Park IL 60301-1071. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stephenson, Diane can be contacted via phone (708) 524-9513.Contact Information
Primary practice address
1101 Lake St Ste 405H
Oak Park IL 60301-1071
Phone: (708) 524-9513
Fax: (630) 604-1115
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071004319 | Illinois |
Profile Details
NPI number | 1558415034 |
---|---|
LBN Legal business name | Stephenson, Diane |
Credentials | PH D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | May 17th, 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.
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