Kiely, Eithne Mary

Kiely, Eithne Mary is an sole proprietor health care provider with primary practice located at 1101 31St St Ste 105 , Downers Grove IL 60515-5535. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kiely, Eithne Mary can be contacted via phone (773) 383-9051.

Contact Information

Primary practice address
1101 31St St Ste 105 Downers Grove IL 60515-5535
Phone: (773) 383-9051
Fax: (630) 926-0640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149017739 Illinois

Profile Details

NPI number 1568900926
LBN Legal business name Kiely, Eithne Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2017
Last updated Oct 10th, 2023 - about 3 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 1568900926 NPPES
Illinois Other 149.017739 LCSW

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