Kaeding, Sandra

Kaeding, Sandra is an sole proprietor health care provider with primary practice located at 135 N Greenleaf St Ste 228 , Gurnee IL 60031-3371. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kaeding, Sandra can be contacted via phone (847) 263-5872.

Contact Information

Primary practice address
135 N Greenleaf St Ste 228 Gurnee IL 60031-3371
Fax: (847) 263-5850
Website:

Health care specialties

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

Profile Details

NPI number 1023163938
LBN Legal business name Kaeding, Sandra
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023163938 NPPES
Illinois Other 04927467 BCBS PPO

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