Maciejko, Marie Alice

Maciejko, Marie Alice is an individual health care provider with primary practice located at 8311 Roosevelt Rd , Forest Park IL 60130-2500. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Maciejko, Marie Alice can be contacted via phone (708) 771-7000.

Contact Information

Primary practice address
8311 Roosevelt Rd Forest Park IL 60130-2500
Phone: (708) 771-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178016629 Illinois

Profile Details

NPI number 1861110009
LBN Legal business name Maciejko, Marie Alice
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2022
Last updated Aug 15th, 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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