Reynoso, Eva
Reynoso, Eva is an sole proprietor health care provider with primary practice located at 7627 Lake Street Suite 206 Pmb 1095, River Forest IL 60305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Reynoso, Eva can be contacted via phone (708) 513-8452.Contact Information
Primary practice address
7627 Lake Street Suite 206 Pmb 1095
River Forest IL 60305
Phone: (708) 513-8452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149020664 | Illinois |
Profile Details
| NPI number | 1982098000 |
|---|---|
| LBN Legal business name | Reynoso, Eva |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2015 |
| Last updated | Sep 22nd, 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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