Zissman, Mark A
Zissman, Mark A is an sole proprietor health care provider with primary practice located at 222 S Greenleaf St Ste 106 , Gurnee IL 60031-5705. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zissman, Mark A can be contacted via phone (847) 356-8205.Contact Information
Primary practice address
222 S Greenleaf St Ste 106
Gurnee IL 60031-5705
Phone: (847) 356-8205
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.009193 | Illinois |
Profile Details
NPI number | 1033607031 |
---|---|
LBN Legal business name | Zissman, Mark A |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 25th, 2018 |
Last updated | Sep 24th, 2018 - about 6 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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