Mahoney, Gregory Lee

Mahoney, Gregory Lee is an sole proprietor health care provider with primary practice located at 264 Langton Ln , Bloomingdale IL 60108-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Mahoney, Gregory Lee can be contacted via phone (224) 289-2054.

Contact Information

Primary practice address
264 Langton Ln Bloomingdale IL 60108-1922
Phone: (224) 289-2054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180003430 Illinois

Profile Details

NPI number 1588739411
LBN Legal business name Mahoney, Gregory Lee
Credentials M.A., L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Mar 9th, 2021 - about 5 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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