Wilson, Simone
Wilson, Simone is an sole proprietor health care provider with primary practice located at 17732 Oak Park Ave Ste K , Tinley Park IL 60477-2064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Simone can be contacted via phone (708) 212-3606.Contact Information
Primary practice address
17732 Oak Park Ave Ste K
Tinley Park IL 60477-2064
Phone: (708) 212-3606
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149019073 | Illinois |
Behavioral Health & Social Service Providers / School | 1041S0200X | 1877719 | Illinois |
Profile Details
NPI number | 1558890772 |
---|---|
LBN Legal business name | Wilson, Simone |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2017 |
Last updated | Jun 27th, 2019 - about 5 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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