Born, Eric
Born, Eric is an individual health care provider with primary practice located at 1600 Eagle Way , Lake Villa IL 60046-7477. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Born, Eric can be contacted via phone (847) 838-7109.Contact Information
Primary practice address
1600 Eagle Way
Lake Villa IL 60046-7477
Phone: (847) 838-7109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 869241 | Illinois |
Profile Details
| NPI number | 1639735137 |
|---|---|
| LBN Legal business name | Born, Eric |
| Credentials | SCHOOL PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2019 |
| Last updated | May 10th, 2019 - about 7 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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