Mistele, Barbara Stitt
Mistele, Barbara Stitt is an sole proprietor health care provider with primary practice located at 655 Rockland Rd Suite 103, Lake Bluff IL 60044-1782. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mistele, Barbara Stitt can be contacted via phone (847) 986-3717.Contact Information
Primary practice address
655 Rockland Rd Suite 103
Lake Bluff IL 60044-1782
Phone: (847) 986-3717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149001406 | Illinois |
Profile Details
| NPI number | 1346312055 |
|---|---|
| LBN Legal business name | Mistele, Barbara Stitt |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| 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 | 1346312055 | NPPES |
| Illinois | Other | 04907177 | BLUE CROSS PROVIDER NMBR |
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