Washington, Gregory Anthony
Washington, Gregory Anthony is an sole proprietor health care provider with primary practice located at 1417 Lawrence Cres , Flossmoor IL 60422-1716. He recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as his primary health care specialty. Washington, Gregory Anthony can be contacted via phone (773) 544-8221.Contact Information
Primary practice address
1417 Lawrence Cres
Flossmoor IL 60422-1716
Phone: (773) 544-8221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
| NPI number | 1174259329 |
|---|---|
| LBN Legal business name | Washington, Gregory Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2022 |
| Last updated | Jul 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174259329 | NPPES |
| Illinois | MEDICAID | NA |
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