Devries, Kerry J
Devries, Kerry J is an sole proprietor health care provider with primary practice located at 1580 N Northwest Hwy Ste 125 , Park Ridge IL 60068-1470. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Devries, Kerry J can be contacted via phone (224) 707-0847.Contact Information
Primary practice address
1580 N Northwest Hwy Ste 125
Park Ridge IL 60068-1470
Phone: (224) 707-0847
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-000829 | Illinois |
Profile Details
| NPI number | 1104943174 |
|---|---|
| LBN Legal business name | Devries, Kerry J |
| Credentials | M.A., L.C.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104943174 | NPPES |
| Illinois | Other | 1437243094 | NPI GROUP NUMBER |
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