Pica, Michael

Pica, Michael is an sole proprietor health care provider with primary practice located at 40W222 Lafox Rd Ste H1 , Saint Charles IL 60175-7631. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pica, Michael can be contacted via phone (630) 549-6497.

Contact Information

Primary practice address
40W222 Lafox Rd Ste H1 Saint Charles IL 60175-7631
Phone: (630) 549-6497
Fax: (630) 549-6497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006217 Illinois

Profile Details

NPI number 1356455505
LBN Legal business name Pica, Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated May 18th, 2023 - about 3 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 1356455505 NPPES
Illinois Other 0032240595; 00445400 BC/BS PROVIDER NUMBER
Illinois Other UNITED HEALTHCARE BC/BS PROVIDER NUMBER
Illinois Other AETNA BC/BS PROVIDER NUMBER
Illinois Other HUMANA BC/BS PROVIDER NUMBER

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