Stith, Edward Paul

Stith, Edward Paul is an sole proprietor health care provider with primary practice located at 700 N Lake St Suite 206, Mundelein IL 60060. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stith, Edward Paul can be contacted via phone (847) 837-1450.

Contact Information

Primary practice address
700 N Lake St Suite 206 Mundelein IL 60060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1093801011
LBN Legal business name Stith, Edward Paul
Credentials MSW LCSW ACSW TYPE 7
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 17 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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