Birdoes, Lisa Marie

Birdoes, Lisa Marie is an sole proprietor health care provider with primary practice located at 4617 N Prospect Rd Suite 26, Peoria Heights IL 61616-6450. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Birdoes, Lisa Marie can be contacted via phone (309) 682-1992.

Contact Information

Primary practice address
4617 N Prospect Rd Suite 26 Peoria Heights IL 61616-6450
Phone: (309) 682-1992
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1205044534
LBN Legal business name Birdoes, Lisa Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
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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