Theis, Mary

Theis, Mary is an sole proprietor health care provider with primary practice located at 9343 Drake Ave , Evanston IL 60203-1406. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Theis, Mary can be contacted via phone (847) 677-7022.

Contact Information

Primary practice address
9343 Drake Ave Evanston IL 60203-1406
Phone: (847) 677-7022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.004853 Illinois

Profile Details

NPI number 1366808974
LBN Legal business name Theis, Mary
Credentials MA, CSLG PSY LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2016
Last updated Jan 12th, 2016 - about 10 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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