Formigoni, Marco

Formigoni, Marco is an sole proprietor health care provider with primary practice located at 246 Elgin Ave , Forest Park IL 60130-1306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Formigoni, Marco can be contacted via phone (312) 945-6723.

Contact Information

Primary practice address
246 Elgin Ave Forest Park IL 60130-1306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149014838 Illinois

Profile Details

NPI number 1295164093
LBN Legal business name Formigoni, Marco
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2013
Last updated Nov 2nd, 2013 - about 13 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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