Smith, Elizabeth Marder
Smith, Elizabeth Marder is an individual health care provider with primary practice located at 10001 W. Grand Avenue , Franklin Park IL 60131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Elizabeth Marder can be contacted via phone (847) 451-0330.Contact Information
Primary practice address
10001 W. Grand Avenue
Franklin Park IL 60131
Phone: (847) 451-0330
Fax: (847) 451-1652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1457835506 |
|---|---|
| LBN Legal business name | Smith, Elizabeth Marder |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2018 |
| Last updated | Sep 24th, 2018 - about 8 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 | 1457835506 | NPPES |
| Illinois | MEDICAID | 362235147004 |
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