Corcoran, Judith A
Corcoran, Judith A is an sole proprietor health care provider with primary practice located at 2300 123Rd Pl , Blue Island IL 60406-1672. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Corcoran, Judith A can be contacted via phone (708) 489-3533.Contact Information
Primary practice address
2300 123Rd Pl
Blue Island IL 60406-1672
Phone: (708) 489-3533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146001853 | Illinois |
Profile Details
| NPI number | 1295249076 |
|---|---|
| LBN Legal business name | Corcoran, Judith A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2017 |
| Last updated | Dec 4th, 2017 - about 9 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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