Commodore, Kevin

Commodore, Kevin is an individual health care provider with primary practice located at 534 1St St Ste A , Crete IL 60417-2153. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Commodore, Kevin can be contacted via phone (708) 880-7747.

Contact Information

Primary practice address
534 1St St Ste A Crete IL 60417-2153
Phone: (708) 880-7747
Fax: (708) 880-7787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.109036 Illinois

Profile Details

NPI number 1194439844
LBN Legal business name Commodore, Kevin
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about 3 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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