Matos, Pamela
Matos, Pamela is an sole proprietor health care provider with primary practice located at 3100 Dundee Rd Ste 101 , Northbrook IL 60062-2462. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Matos, Pamela can be contacted via phone (847) 919-9096.Contact Information
Primary practice address
3100 Dundee Rd Ste 101
Northbrook IL 60062-2462
Phone: (847) 919-9096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178-009299 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180011597 | Illinois |
Profile Details
| NPI number | 1104360080 |
|---|---|
| LBN Legal business name | Matos, Pamela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2016 |
| Last updated | Nov 12th, 2019 - about 7 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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