Fujino, Amy Lynn

Fujino, Amy Lynn is an individual health care provider with primary practice located at 149 N Virginia St Ste 201 , Crystal Lake IL 60014-3494. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fujino, Amy Lynn can be contacted via phone (815) 893-9459.

Contact Information

Primary practice address
149 N Virginia St Ste 201 Crystal Lake IL 60014-3494
Phone: (815) 893-9459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180006756 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.006756 Illinois

Profile Details

NPI number 1649445040
LBN Legal business name Fujino, Amy Lynn
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated May 11th, 2022 - about 4 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 1649445040 NPPES
Illinois MEDICAID 881692658

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