Azzaline, Michael Robert

Azzaline, Michael Robert is an individual health care provider with primary practice located at 15300 West Ave Suite 313, Orland Park IL 60462-4600. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Azzaline, Michael Robert can be contacted via phone (708) 460-2370.

Contact Information

Primary practice address
15300 West Ave Suite 313 Orland Park IL 60462-4600
Phone: (708) 460-2370
Fax: (708) 226-2621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Illinois

Profile Details

NPI number 1285745901
LBN Legal business name Azzaline, Michael Robert
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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