Wilson, Glinda
Wilson, Glinda is an individual health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Glinda can be contacted via phone (708) 647-3333.Contact Information
Primary practice address
1909 Cheker Sq
East Hazel Crest IL 60429-1442
Phone: (708) 647-3333
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 25638 | Illinois |
Profile Details
NPI number | 1912361882 |
---|---|
LBN Legal business name | Wilson, Glinda |
Credentials | CADC/MISA1 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2016 |
Last updated | Apr 7th, 2016 - about 8 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 | 1912361882 | NPPES |
Illinois | Other | 25638 | ILLINOIS CERTIFICATION BOARD INC. |
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