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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912361882 NPPES
Illinois Other 25638 ILLINOIS CERTIFICATION BOARD INC.

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