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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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