Sulentich, Therese Celine
Sulentich, Therese Celine is an sole proprietor health care provider with primary practice located at 725 N. Mckinley Road Suite 100, Lake Forest IL 60045-1850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sulentich, Therese Celine can be contacted via phone (847) 917-5683.Contact Information
Primary practice address
725 N. Mckinley Road Suite 100
Lake Forest IL 60045-1850
Phone: (847) 917-5683
Fax: (847) 295-3636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1437246261 |
|---|---|
| LBN Legal business name | Sulentich, Therese Celine |
| Credentials | PSY.D. |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437246261 | NPPES |
| Illinois | Other | 1671411 | BLUE CROSS AND BLUE SHIEL |
| Illinois | Other | 35824 | BLUE CROSS AND BLUE SHIEL |
| Illinois | Other | 8662099320 | BLUE CROSS AND BLUE SHIEL |
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