Prepura, Wayne Andrew
Prepura, Wayne Andrew is an individual health care provider with primary practice located at 501 W Peterson Rd Allied Psychological Services Ltd, Libertyville IL 60048. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Prepura, Wayne Andrew can be contacted via phone (847) 680-3828.Contact Information
Primary practice address
501 W Peterson Rd Allied Psychological Services Ltd
Libertyville IL 60048
Phone: (847) 680-3828
Fax: (847) 680-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1265623631 |
|---|---|
| LBN Legal business name | Prepura, Wayne Andrew |
| Credentials | PHD COUNSELLING PSYC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Aug 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265623631 | NPPES |
| Illinois | Other | 4923581 | BLUE CROSS BLUE SHIELD OF |
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