Andersen, Penelope A

Andersen, Penelope A is an individual health care provider with primary practice located at 516 N Main St Ste A , Glen Ellyn IL 60137-5175. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andersen, Penelope A can be contacted via phone (630) 858-1075.

Contact Information

Primary practice address
516 N Main St Ste A Glen Ellyn IL 60137-5175
Phone: (630) 858-1075
Fax: (630) 858-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149009657 Illinois

Profile Details

NPI number 1821167982
LBN Legal business name Andersen, Penelope A
Credentials LCSW,LMFT,MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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