Vesco, Anthony Thomas

Vesco, Anthony Thomas is an individual health care provider with primary practice located at 225 E Chicago Ave # 10A , Chicago IL 60611-2991. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Vesco, Anthony Thomas can be contacted via phone (312) 227-0824.

Contact Information

Primary practice address
225 E Chicago Ave # 10A Chicago IL 60611-2991
Phone: (312) 227-0824
Fax: (312) 227-9659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1265781934
LBN Legal business name Vesco, Anthony Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2012
Last updated Apr 26th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265781934 NPPES
Ohio MEDICAID 2846675

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