Yerkes, Mary Angela

Yerkes, Mary Angela is an sole proprietor health care provider with primary practice located at 11900 Southwest Hwy Ste 202 , Palos Park IL 60464-1200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yerkes, Mary Angela can be contacted via phone (708) 986-5168.

Contact Information

Primary practice address
11900 Southwest Hwy Ste 202 Palos Park IL 60464-1200
Fax: (844) 464-0739
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004207 Illinois

Profile Details

NPI number 1649263823
LBN Legal business name Yerkes, Mary Angela
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Nov 28th, 2022 - about 3 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 1649263823 NPPES
Illinois Other 01635445 BLUE CROSS PIN

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