Serna, Denise

Serna, Denise is an sole proprietor health care provider with primary practice located at 3805 W 75Th Pl , Chicago IL 60652-1303. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Serna, Denise can be contacted via phone (773) 655-0493.

Contact Information

Primary practice address
3805 W 75Th Pl Chicago IL 60652-1303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Illinois

Profile Details

NPI number 1346865730
LBN Legal business name Serna, Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2020
Last updated Jun 11th, 2020 - about 6 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 1346865730 NPPES
Illinois MEDICAID 207373747

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