Yebra, Meredith

Yebra, Meredith is an sole proprietor health care provider with primary practice located at 4610 N Clark St # 1203 , Chicago IL 60640-4620. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Yebra, Meredith can be contacted via phone (312) 278-7628.

Contact Information

Primary practice address
4610 N Clark St # 1203 Chicago IL 60640-4620
Phone: (312) 278-7628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 178014741 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180014143 Illinois

Profile Details

NPI number 1437718632
LBN Legal business name Yebra, Meredith
Credentials LCPC, ART-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2019
Last updated Jun 4th, 2024 - about 6 months 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 1437718632 NPPES
Illinois Other 1699478990 STATE OF ILLINOIS
Illinois Other 180014143 STATE OF ILLINOIS
Illinois Other 22-090 STATE OF ILLINOIS

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