Sledge, Darlene
Sledge, Darlene is an sole proprietor health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sledge, Darlene can be contacted via phone (708) 647-3334.Contact Information
Primary practice address
1909 Cheker Sq
East Hazel Crest IL 60429-1442
Phone: (708) 647-3334
Fax: (708) 647-3504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1164973616 |
|---|---|
| LBN Legal business name | Sledge, Darlene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Oct 19th, 2016 - about 9 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 | 1164973616 | NPPES |
| Illinois | MEDICAID | 101YA0400X |
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