Pulliam, Patricia

Pulliam, Patricia is an sole proprietor health care provider with primary practice located at 1525 E 53Rd St Suite 400, Chicago IL 60615-4557. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pulliam, Patricia can be contacted via phone (773) 642-4682.

Contact Information

Primary practice address
1525 E 53Rd St Suite 400 Chicago IL 60615-4557
Phone: (773) 642-4682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6603 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149012421 Illinois

Profile Details

NPI number 1649587098
LBN Legal business name Pulliam, Patricia
Credentials LCSW, CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2010
Last updated Jun 3rd, 2011 - about 14 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 1649587098 NPPES
Illinois MEDICAID 1649587098

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