Eisele, Heather

Eisele, Heather is an sole proprietor health care provider with primary practice located at 8170 Mccormick Blvd Suite 204, Skokie IL 60076-2961. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Eisele, Heather can be contacted via phone (847) 673-0718.

Contact Information

Primary practice address
8170 Mccormick Blvd Suite 204 Skokie IL 60076-2961
Phone: (847) 673-0718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 071.007975 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071007975 Illinois

Profile Details

NPI number 1376843284
LBN Legal business name Eisele, Heather
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Sep 16th, 2022 - about 4 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 1376843284 NPPES
Illinois Other 071007975 LICENSE

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