Kubiak, Tracy Ann
Kubiak, Tracy Ann is an sole proprietor health care provider with primary practice located at 346 Alana Dr , New Lenox IL 60451-1784. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kubiak, Tracy Ann can be contacted via phone (815) 462-0514.Contact Information
Primary practice address
346 Alana Dr
New Lenox IL 60451-1784
Phone: (815) 462-0514
Fax: (815) 462-3993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Illinois |
Profile Details
| NPI number | 1366581837 |
|---|---|
| LBN Legal business name | Kubiak, Tracy Ann |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366581837 | NPPES |
| Illinois | Other | 9932126 | BCBS |
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