Tande, Kelli Jean
Tande, Kelli Jean is an individual health care provider with primary practice located at 9649 W 55Th St , Countryside IL 60525-3632. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tande, Kelli Jean can be contacted via phone (708) 352-3580.Contact Information
Primary practice address
9649 W 55Th St
Countryside IL 60525-3632
Phone: (708) 352-3580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1-06-3072 | Illinois |
Profile Details
NPI number | 1659580686 |
---|---|
LBN Legal business name | Tande, Kelli Jean |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 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.
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