Takeguchi, Kazu

Takeguchi, Kazu is an individual health care provider with primary practice located at 3022 S Park Ave , Herrin IL 62948-3721. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Takeguchi, Kazu can be contacted via phone (618) 967-1567.

Contact Information

Primary practice address
3022 S Park Ave Herrin IL 62948-3721
Phone: (618) 967-1567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1487939146
LBN Legal business name Takeguchi, Kazu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Feb 15th, 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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