Wolfson, Ivan A.

Wolfson, Ivan A. is an sole proprietor health care provider with primary practice located at 149 Oak Knoll Ter , Highland Park IL 60035-5320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wolfson, Ivan A. can be contacted via phone (847) 433-4450.

Contact Information

Primary practice address
149 Oak Knoll Ter Highland Park IL 60035-5320
Phone: (847) 433-4450
Fax: (847) 433-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-005558 Illinois

Profile Details

NPI number 1205814456
LBN Legal business name Wolfson, Ivan A.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2006
Last updated May 14th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205814456 NPPES
Illinois Other 5988-151-5 INCORPORATION FILENUMBER

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