Klutcharch, Edward J

Klutcharch, Edward J is an individual health care provider with primary practice located at 6502 Joliet Rd , Countryside IL 60525-4682. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Klutcharch, Edward J can be contacted via phone (708) 608-1167.

Contact Information

Primary practice address
6502 Joliet Rd Countryside IL 60525-4682
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008553 Illinois

Profile Details

NPI number 1861734600
LBN Legal business name Klutcharch, Edward J
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Jul 19th, 2022 - about 4 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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