Bicouvaris, Maria Nicole

Bicouvaris, Maria Nicole is an individual health care provider with primary practice located at 708 Washington St , Woodstock IL 60098-2265. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bicouvaris, Maria Nicole can be contacted via phone (815) 338-1707.

Contact Information

Primary practice address
708 Washington St Woodstock IL 60098-2265
Phone: (815) 338-1707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1588836076
LBN Legal business name Bicouvaris, Maria Nicole
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588836076 NPPES
Illinois MEDICAID 362264411001
Illinois Other 05615103

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