Axness, Ericka

Axness, Ericka is an individual health care provider with primary practice located at 129 Fairfield Way Suite 303A, Bloomingdale IL 60108-1560. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Axness, Ericka can be contacted via phone (708) 955-2936.

Contact Information

Primary practice address
129 Fairfield Way Suite 303A Bloomingdale IL 60108-1560
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149011074 Illinois

Profile Details

NPI number 1821224254
LBN Legal business name Axness, Ericka
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2009
Last updated Jul 14th, 2015 - about 10 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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