Licata, Phillip Mark

Licata, Phillip Mark is an sole proprietor health care provider with primary practice located at 1000 Jorie Blvd Suite 48, Oak Brook IL 60523-2214. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Licata, Phillip Mark can be contacted via phone (847) 951-0338.

Contact Information

Primary practice address
1000 Jorie Blvd Suite 48 Oak Brook IL 60523-2214
Phone: (847) 951-0338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004784 Illinois

Profile Details

NPI number 1649493941
LBN Legal business name Licata, Phillip Mark
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 19 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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