Weber, Lorraine

Weber, Lorraine is an sole proprietor health care provider with primary practice located at 23346 W Liberty Ave , Lake Villa IL 60046-8763. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weber, Lorraine can be contacted via phone (847) 903-5604.

Contact Information

Primary practice address
23346 W Liberty Ave Lake Villa IL 60046-8763
Phone: (847) 903-5604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149000895 Illinois

Profile Details

NPI number 1720500689
LBN Legal business name Weber, Lorraine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2017
Last updated Mar 29th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720500689 NPPES
Illinois Other 149000895 LICENSE

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