Larson, Sherri L

Larson, Sherri L is an individual health care provider with primary practice located at 19740 Governors Hwy Suite 117, Flossmoor IL 60422-2084. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Larson, Sherri L can be contacted via phone (866) 296-5262.

Contact Information

Primary practice address
19740 Governors Hwy Suite 117 Flossmoor IL 60422-2084
Phone: (866) 296-5262
Fax: (708) 957-9588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004355 Illinois

Profile Details

NPI number 1295062883
LBN Legal business name Larson, Sherri L
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Nov 3rd, 2009 - about 17 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 1295062883 NPPES
Illinois Other 180004355 STATE OF ILLINOIS

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