Purcell, Nora
Purcell, Nora is an sole proprietor health care provider with primary practice located at 1575 Glacier Cir , Crystal Lake IL 60014-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Purcell, Nora can be contacted via phone (847) 636-7419.Contact Information
Primary practice address
1575 Glacier Cir
Crystal Lake IL 60014-8903
Phone: (847) 636-7419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.011153 | Illinois |
Profile Details
| NPI number | 1689795023 |
|---|---|
| LBN Legal business name | Purcell, Nora |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jan 16th, 2016 - about 10 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 | 1689795023 | NPPES |
| Illinois | MEDICAID | 6003359 |
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