Wilburn, Michael
Wilburn, Michael is an sole proprietor health care provider with primary practice located at 442 Malden Ave , La Grange Park IL 60526-1710. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Wilburn, Michael can be contacted via phone (708) 703-1215.Contact Information
Primary practice address
442 Malden Ave
La Grange Park IL 60526-1710
Phone: (708) 703-1215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146000259 | Illinois |
Profile Details
| NPI number | 1972892545 |
|---|---|
| LBN Legal business name | Wilburn, Michael |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Apr 4th, 2011 - about 14 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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