Lake, James P

Lake, James P is an sole proprietor health care provider with primary practice located at 440 N Main St Apt E304 , Wauconda IL 60084-1759. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Lake, James P can be contacted via phone (847) 526-6425.

Contact Information

Primary practice address
440 N Main St Apt E304 Wauconda IL 60084-1759
Phone: (847) 526-6425
Fax: (847) 526-6425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007410 Illinois

Profile Details

NPI number 1518241330
LBN Legal business name Lake, James P
Credentials MS, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Sep 29th, 2011 - 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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