Dorlack, Taylor Patrice
Dorlack, Taylor Patrice is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dorlack, Taylor Patrice can be contacted via phone (847) 318-9330.Contact Information
Primary practice address
1675 Dempster St
Park Ridge IL 60068-1110
Phone: (847) 318-9330
Fax: (847) 723-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-66618 | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 65630 | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.011202 | Illinois |
Profile Details
| NPI number | 1386028868 |
|---|---|
| LBN Legal business name | Dorlack, Taylor Patrice |
| Credentials | PHD, BCBA, NCSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2015 |
| Last updated | May 5th, 2025 - about last year |
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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