Petersmark, Michele Lynn

Petersmark, Michele Lynn is an individual health care provider with primary practice located at 1335 N Mill St Ste 100 , Naperville IL 60563-2047. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Petersmark, Michele Lynn can be contacted via phone (630) 646-8000.

Contact Information

Primary practice address
1335 N Mill St Ste 100 Naperville IL 60563-2047
Phone: (630) 646-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004990 Illinois

Profile Details

NPI number 1427103498
LBN Legal business name Petersmark, Michele Lynn
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated May 13th, 2021 - about 5 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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