Walejeski, Holly Derosa

Walejeski, Holly Derosa is an sole proprietor health care provider with primary practice located at 3139 N Lincoln Ave Ste 203 , Chicago IL 60657-3122. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Walejeski, Holly Derosa can be contacted via phone (773) 682-1988.

Contact Information

Primary practice address
3139 N Lincoln Ave Ste 203 Chicago IL 60657-3122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007992 Illinois
Agencies / Early Intervention Provider Agency 252Y00000X 180.007992 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.007992 Illinois

Profile Details

NPI number 1043493174
LBN Legal business name Walejeski, Holly Derosa
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2007
Last updated May 8th, 2013 - about 13 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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