Gough, Christopher Joseph

Gough, Christopher Joseph is an individual health care provider with primary practice located at 400 East Hillcrest Drive Suite 100A, Dekalb IL 60115. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gough, Christopher Joseph can be contacted via phone (815) 762-1498.

Contact Information

Primary practice address
400 East Hillcrest Drive Suite 100A Dekalb IL 60115
Phone: (815) 762-1498
Fax: (815) 756-4848
Website:
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Health care specialties

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

Profile Details

NPI number 1477606531
LBN Legal business name Gough, Christopher Joseph
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
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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