Carbonell-Rodriguez, Joanne

Carbonell-Rodriguez, Joanne is an sole proprietor health care provider with primary practice located at 3040 N Wilton Ave 2Nd Fl, Chicago IL 60657-4424. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Carbonell-Rodriguez, Joanne can be contacted via phone (773) 296-7687.

Contact Information

Primary practice address
3040 N Wilton Ave 2Nd Fl Chicago IL 60657-4424
Phone: (773) 296-7687
Fax: (773) 296-7281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1508909797
LBN Legal business name Carbonell-Rodriguez, Joanne
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508909797 NPPES
Illinois Other JC54880398P EARLY INTERVENTION PROVID

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