Bussert, Theresa A.

Bussert, Theresa A. is an sole proprietor health care provider with primary practice located at 1725 S Naperville Rd Suite 206, Wheaton IL 60187-8155. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bussert, Theresa A. can be contacted via phone (630) 653-6441.

Contact Information

Primary practice address
1725 S Naperville Rd Suite 206 Wheaton IL 60187-8155
Phone: (630) 653-6441
Fax: (630) 653-8409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-011056 Illinois

Profile Details

NPI number 1376503177
LBN Legal business name Bussert, Theresa A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Apr 22nd, 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 1376503177 NPPES
Illinois Other 209551 GROUP NUMBER

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