Kizhakedan, Lazar

Kizhakedan, Lazar is an sole proprietor health care provider with primary practice located at 3033 W Jefferson St Suite 205, Joliet IL 60435-5261. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Kizhakedan, Lazar can be contacted via phone (815) 773-6277.

Contact Information

Primary practice address
3033 W Jefferson St Suite 205 Joliet IL 60435-5261
Phone: (815) 773-6277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29480 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.012857 Illinois

Profile Details

NPI number 1720358534
LBN Legal business name Kizhakedan, Lazar
Credentials LSW, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2012
Last updated Jan 10th, 2012 - about 14 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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