Sufi, Shamim A
Sufi, Shamim A is an sole proprietor health care provider with primary practice located at 3033 W Jefferson St Suite 207, Joliet IL 60435-5261. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sufi, Shamim A can be contacted via phone (630) 935-2787.Contact Information
Primary practice address
3033 W Jefferson St Suite 207
Joliet IL 60435-5261
Phone: (630) 935-2787
Fax: (639) 922-8509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1659408003 |
|---|---|
| LBN Legal business name | Sufi, Shamim A |
| Credentials | M.A , LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659408003 | NPPES |
| Illinois | Other | SS70450102P | EARLY INTERVENTION PROVID |
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