Ennis, Colin

Ennis, Colin is an sole proprietor health care provider with primary practice located at 53 W Jackson Blvd 635, Chicago IL 60604-3606. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ennis, Colin can be contacted via phone (312) 725-9745.

Contact Information

Primary practice address
53 W Jackson Blvd 635 Chicago IL 60604-3606
Phone: (312) 725-9745
Fax: (312) 488-3642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008031 Illinois

Profile Details

NPI number 1881996320
LBN Legal business name Ennis, Colin
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2010
Last updated Aug 13th, 2014 - about 11 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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