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
Phone: (708) 986-5168
Fax: (844) 464-0739
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649263823 | NPPES |
Illinois | Other | 01635445 | BLUE CROSS PIN |
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