Bazelon, Amy

Bazelon, Amy is an individual health care provider with primary practice located at 839 Moseley Rd , Highland Park IL 60035-4635. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bazelon, Amy can be contacted via phone (847) 707-5424.

Contact Information

Primary practice address
839 Moseley Rd Highland Park IL 60035-4635
Phone: (847) 707-5424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.010546 Illinois

Profile Details

NPI number 1578991972
LBN Legal business name Bazelon, Amy
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2013
Last updated Oct 27th, 2021 - about 5 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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