Cooke, Kristen Michelle
Cooke, Kristen Michelle is an sole proprietor health care provider with primary practice located at 1938 E Lincoln Hwy Unit 219 , New Lenox IL 60451-3860. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooke, Kristen Michelle can be contacted via phone (815) 320-3749.Contact Information
Primary practice address
1938 E Lincoln Hwy Unit 219
New Lenox IL 60451-3860
Phone: (815) 320-3749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149016484 | Illinois |
Profile Details
| NPI number | 1598382913 |
|---|---|
| LBN Legal business name | Cooke, Kristen Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2020 |
| Last updated | Jul 1st, 2020 - about 6 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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