Stanford, Kevin M

Stanford, Kevin M is an individual health care provider with primary practice located at 25 Telser Rd Unit 743 , Lake Zurich IL 60047-3633. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stanford, Kevin M can be contacted via phone (773) 644-1522.

Contact Information

Primary practice address
25 Telser Rd Unit 743 Lake Zurich IL 60047-3633
Phone: (773) 644-1522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149018552 Illinois

Profile Details

NPI number 1508190042
LBN Legal business name Stanford, Kevin M
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2009
Last updated Sep 1st, 2021 - about 5 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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