Whitney, Tavia
Whitney, Tavia is an individual health care provider with primary practice located at 1440 Renaissance Dr Ste 320 , Park Ridge IL 60068-1471. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whitney, Tavia can be contacted via phone (847) 759-9110.Contact Information
Primary practice address
1440 Renaissance Dr Ste 320
Park Ridge IL 60068-1471
Phone: (847) 759-9110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.009596 | Illinois |
Profile Details
| NPI number | 1851817381 |
|---|---|
| LBN Legal business name | Whitney, Tavia |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2017 |
| Last updated | Aug 16th, 2017 - about 9 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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