Alexander, Charles Larson

Alexander, Charles Larson is an individual health care provider with primary practice located at 15020 S Ravinia Ave , Orland Park IL 60462-3166. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alexander, Charles Larson can be contacted via phone (708) 873-9059.

Contact Information

Primary practice address
15020 S Ravinia Ave Orland Park IL 60462-3166
Phone: (708) 873-9059
Fax: (708) 428-4504
Website:
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Health care specialties

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

Profile Details

NPI number 1003859554
LBN Legal business name Alexander, Charles Larson
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 3rd, 2008 - about 17 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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