Wine, Elizabeth Jane

Wine, Elizabeth Jane is an individual health care provider with primary practice located at 544 S. Cornell , Villa Park IL 60181. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wine, Elizabeth Jane can be contacted via phone (630) 993-0100.

Contact Information

Primary practice address
544 S. Cornell Villa Park IL 60181
Phone: (630) 993-0100
Fax: (630) 993-1402
Website:
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Health care specialties

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

Profile Details

NPI number 1780805945
LBN Legal business name Wine, Elizabeth Jane
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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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