Wallach, Joseph Eli

Wallach, Joseph Eli is an sole proprietor health care provider with primary practice located at 2530 Crawford Ave Suite 304, Evanston IL 60201-4970. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wallach, Joseph Eli can be contacted via phone (773) 852-2400.

Contact Information

Primary practice address
2530 Crawford Ave Suite 304 Evanston IL 60201-4970
Phone: (773) 852-2400
Fax: (847) 869-8116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071007942 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007942 Illinois
Behavioral Health & Social Service Providers / Health 103TH0004X 071007942 Illinois

Profile Details

NPI number 1336453265
LBN Legal business name Wallach, Joseph Eli
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2010
Last updated Dec 22nd, 2011 - about 13 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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