Donald, James William

Donald, James William is an sole proprietor health care provider with primary practice located at 5101 Washington St Suite 11 Room 1115, Gurnee IL 60031-5916. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Donald, James William can be contacted via phone (847) 313-9659.

Contact Information

Primary practice address
5101 Washington St Suite 11 Room 1115 Gurnee IL 60031-5916
Phone: (847) 313-9659
Fax: (847) 557-1418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000792 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 1815 Colorado

Profile Details

NPI number 1437408309
LBN Legal business name Donald, James William
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2012
Last updated May 6th, 2013 - about 13 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 1437408309 NPPES
Illinois Other 12482712 CAQH

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