Paul, Mary Elizabeth

Paul, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 1526 W Ohio St , Chicago IL 60642-6102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paul, Mary Elizabeth can be contacted via phone (312) 455-0224.

Contact Information

Primary practice address
1526 W Ohio St Chicago IL 60642-6102
Phone: (312) 455-0224
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-001694 Illinois

Profile Details

NPI number 1366441917
LBN Legal business name Paul, Mary Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2005
Last updated Sep 21st, 2011 - about 15 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 1366441917 NPPES
Illinois Other 1672549 BLUE CROSS BLUE SHIELD IL

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