Tillema, Carly

Tillema, Carly is an individual health care provider with primary practice located at 5705 Willow Springs Rd , Countryside IL 60525-3478. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tillema, Carly can be contacted via phone (312) 965-2997.

Contact Information

Primary practice address
5705 Willow Springs Rd Countryside IL 60525-3478
Phone: (312) 965-2997
Fax: (312) 929-0324
Website:
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Health care specialties

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

Profile Details

NPI number 1477278398
LBN Legal business name Tillema, Carly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 4 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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