Phillips, Will
Phillips, Will is an sole proprietor health care provider with primary practice located at 3304 N Broadway St , Chicago IL 60657-3517. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Phillips, Will can be contacted via phone (773) 413-8521.Contact Information
Primary practice address
3304 N Broadway St
Chicago IL 60657-3517
Phone: (773) 413-8521
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149010734 | Illinois |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1972877561 |
|---|---|
| LBN Legal business name | Phillips, Will |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 29th, 2012 |
| Last updated | Dec 1st, 2014 - about 12 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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