Wallendjack, Diane Louise

Wallendjack, Diane Louise is an individual health care provider with primary practice located at 65 Woodside Rd , Riverside IL 60546-1974. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wallendjack, Diane Louise can be contacted via phone (708) 447-3896.

Contact Information

Primary practice address
65 Woodside Rd Riverside IL 60546-1974
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 899294 Illinois

Profile Details

NPI number 1689183592
LBN Legal business name Wallendjack, Diane Louise
Credentials EDD, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Jul 21st, 2022 - about 2 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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