Erlichman, Ellen Faye

Erlichman, Ellen Faye is an individual health care provider with primary practice located at 390 E Congress Pkwy Suite J, Crystal Lake IL 60014-6202. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Erlichman, Ellen Faye can be contacted via phone (815) 356-5050.

Contact Information

Primary practice address
390 E Congress Pkwy Suite J Crystal Lake IL 60014-6202
Phone: (815) 356-5050
Fax: (815) 356-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 149007745 Illinois

Profile Details

NPI number 1932288115
LBN Legal business name Erlichman, Ellen Faye
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jun 11th, 2009 - about 17 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 1932288115 NPPES
Illinois Other 207844 GROUP MEDICARE NUMBER
Illinois Other 1633897 GROUP MEDICARE NUMBER

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