Isidoro, Mayra Yadira

Isidoro, Mayra Yadira is an sole proprietor health care provider with primary practice located at 58 E Clinton St , Joliet IL 60432-4143. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Isidoro, Mayra Yadira can be contacted via phone (815) 723-0331.

Contact Information

Primary practice address
58 E Clinton St Joliet IL 60432-4143
Phone: (815) 723-0331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1669092359
LBN Legal business name Isidoro, Mayra Yadira
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2020
Last updated Apr 22nd, 2020 - about 6 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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