Cullen, Michael

Cullen, Michael is an individual health care provider with primary practice located at 3 W Hawthorn Pkwy Suite 260, Vernon Hills IL 60061-1446. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cullen, Michael can be contacted via phone (847) 918-8282.

Contact Information

Primary practice address
3 W Hawthorn Pkwy Suite 260 Vernon Hills IL 60061-1446
Phone: (847) 918-8282
Fax: (847) 918-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1861594129
LBN Legal business name Cullen, Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 9th, 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 1861594129 NPPES
Illinois Other 320078 VALUE OPTIONS GRP #
Illinois Other 344427 VALUE OPTIONS GRP #
Illinois Other 1633897 VALUE OPTIONS GRP #

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