Mildner, Carolyn Ann
Mildner, Carolyn Ann is an sole proprietor health care provider with primary practice located at 1645 W Gregory St , Chicago IL 60640-1161. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mildner, Carolyn Ann can be contacted via phone (773) 444-9779.Contact Information
Primary practice address
1645 W Gregory St
Chicago IL 60640-1161
Phone: (773) 444-9779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1952445355 |
|---|---|
| LBN Legal business name | Mildner, Carolyn Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952445355 | NPPES |
| Illinois | Other | 016-35807 | BLUE CROSS BLUE SHIELD |
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