Fajardo, Edward J

Fajardo, Edward J is an individual health care provider with primary practice located at 4025 N Sheridan Rd , Chicago IL 60613-2010. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fajardo, Edward J can be contacted via phone (773) 388-8909.

Contact Information

Primary practice address
4025 N Sheridan Rd Chicago IL 60613-2010
Phone: (773) 388-8909
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1306816400
LBN Legal business name Fajardo, Edward J
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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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