Javaid, Shafaq

Javaid, Shafaq is an individual health care provider with primary practice located at 350 E Congress Pkwy Suite C, Crystal Lake IL 60014-6284. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Javaid, Shafaq can be contacted via phone (815) 356-5050.

Contact Information

Primary practice address
350 E Congress Pkwy Suite C Crystal Lake IL 60014-6284
Phone: (815) 356-5050
Fax: (815) 356-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.008130 Illinois

Profile Details

NPI number 1619308749
LBN Legal business name Javaid, Shafaq
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2013
Last updated Sep 26th, 2014 - about 12 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 1619308749 NPPES
Illinois Other J130-7808-4708 DRIVER'S LICENSE

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