Hamilton, Blake

Hamilton, Blake is an individual health care provider with primary practice located at 1300 W Belmont Ave Ste 211 , Chicago IL 60657-3240. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hamilton, Blake can be contacted via phone (773) 880-2317.

Contact Information

Primary practice address
1300 W Belmont Ave Ste 211 Chicago IL 60657-3240
Phone: (773) 880-2317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149012143 Illinois

Profile Details

NPI number 1619026390
LBN Legal business name Hamilton, Blake
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 26th, 2010 - about 16 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 1619026390 NPPES
Illinois Other 600074695 MAGELLIAN
Illinois Other 591278 MAGELLIAN
Illinois Other 01636966 MAGELLIAN

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