Nicklas, Lisa
Nicklas, Lisa is an individual health care provider with primary practice located at 1790 Nations Dr Ste 116 , Gurnee IL 60031-9175. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nicklas, Lisa can be contacted via phone (847) 245-6567.Contact Information
Primary practice address
1790 Nations Dr Ste 116
Gurnee IL 60031-9175
Phone: (847) 245-6567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.007737 | Illinois |
Profile Details
| NPI number | 1548552078 |
|---|---|
| LBN Legal business name | Nicklas, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2011 |
| Last updated | Mar 17th, 2018 - about 8 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.
Popular Providers
-
Bennett, Robert J
2020 Greystem Circle Apt 104, Gurnee IL 60031-2197 -
Kirschbaum, Philip C.
4212 Old Grand Ave Suite 102, Gurnee IL 60031-2708 -
Galarza, David
1790 Nations Dr Suite 208, Gurnee IL 60031-9164 -
Gross, Eleanor J.
501 N Riverside Dr Suite 208, Gurnee IL 60031-5918 -
Donald, James William
5101 Washington St Suite 11 Room 1115, Gurnee IL 60031-5916 -
Foust, Daniel L.
135 N Greenleaf St Ste 215 , Gurnee IL 60031-3371 -
Patten, Kristin Evelyn
495 N Riverside Dr Ste 208 , Gurnee IL 60031 -
Gust, Deborah A.
4343 Old Grand Avenue Suite 107C, Gurnee IL 60031-3393