Motlong, William K

Motlong, William K is an individual health care provider with primary practice located at 3624 W 216Th St , Matteson IL 60443-2713. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Motlong, William K can be contacted via phone (708) 481-4080.

Contact Information

Primary practice address
3624 W 216Th St Matteson IL 60443-2713
Phone: (708) 481-4080
Fax: (708) 481-7725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1477647378
LBN Legal business name Motlong, William K
Credentials PHD LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477647378 NPPES
Other 01636410 BCBS

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