Flynn, Richard

Flynn, Richard is an sole proprietor health care provider with primary practice located at 801 Skokie Blvd Ste 222 , Northbrook IL 60062-4027. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Flynn, Richard can be contacted via phone (773) 991-6926.

Contact Information

Primary practice address
801 Skokie Blvd Ste 222 Northbrook IL 60062-4027
Phone: (773) 991-6926
Fax: (847) 785-1567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.009082 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 14-088 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009082 Illinois

Profile Details

NPI number 1225443716
LBN Legal business name Flynn, Richard
Credentials LCPC, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Dec 18th, 2018 - about 8 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 1225443716 NPPES
Illinois MEDICAID 1225443716

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