Diamond, Sandra

Diamond, Sandra is an sole proprietor health care provider with primary practice located at 1480 Renaissance Dr Ste 212 , Park Ridge IL 60068-1353. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Diamond, Sandra can be contacted via phone (847) 699-3399.

Contact Information

Primary practice address
1480 Renaissance Dr Ste 212 Park Ridge IL 60068-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.007957 Illinois

Profile Details

NPI number 1871945105
LBN Legal business name Diamond, Sandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 10 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 1871945105 NPPES
Illinois Other 178.007957 LICENSED PROFESSIONAL COUNSELOR

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