Cermak, Matthew Edward
Cermak, Matthew Edward is an sole proprietor health care provider with primary practice located at 2631 Williamsburg Ave Suite 302, Geneva IL 60134-1107. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Cermak, Matthew Edward can be contacted via phone (815) 520-1181.Contact Information
Primary practice address
2631 Williamsburg Ave Suite 302
Geneva IL 60134-1107
Phone: (815) 520-1181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 32399 | Illinois |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 150015736 | Illinois |
Profile Details
| NPI number | 1679958011 |
|---|---|
| LBN Legal business name | Cermak, Matthew Edward |
| Credentials | MSW LSW CADC MISA-1 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2015 |
| Last updated | Jul 28th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679958011 | NPPES |
| Illinois | Other | 3884947 | FEIN |
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