Jiminez Lee, Ebony Louise
Jiminez Lee, Ebony Louise is an individual health care provider with primary practice located at 3 S Prospect Ave , Park Ridge IL 60068-4177. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jiminez Lee, Ebony Louise can be contacted via phone (773) 704-3920.Contact Information
Primary practice address
3 S Prospect Ave
Park Ridge IL 60068-4177
Phone: (773) 704-3920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.010715 | Illinois |
Profile Details
| NPI number | 1891236774 |
|---|---|
| LBN Legal business name | Jiminez Lee, Ebony Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Mar 13th, 2017 - about 9 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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