Mercola, Loren

Mercola, Loren is an individual health care provider with primary practice located at 500 N Michigan Ave Ste 600 , Chicago IL 60611-3754. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mercola, Loren can be contacted via phone (312) 806-8880.

Contact Information

Primary practice address
500 N Michigan Ave Ste 600 Chicago IL 60611-3754
Phone: (312) 806-8880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16488 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 1533934 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149007810 Illinois

Profile Details

NPI number 1437251980
LBN Legal business name Mercola, Loren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Nov 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437251980 NPPES
Illinois Other 364123208 TAX ID FOR S-CORP

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