Bonistalli, Carolyn
Bonistalli, Carolyn is an sole proprietor health care provider with primary practice located at 4806 Fair Elms Ave , Western Springs IL 60558-1709. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bonistalli, Carolyn can be contacted via phone (708) 732-0654.Contact Information
Primary practice address
4806 Fair Elms Ave
Western Springs IL 60558-1709
Phone: (708) 732-0654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149017041 | Illinois |
Profile Details
| NPI number | 1144609686 |
|---|---|
| LBN Legal business name | Bonistalli, Carolyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2015 |
| Last updated | Jun 24th, 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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