Zubkus, Tania Grace
Zubkus, Tania Grace is an individual health care provider with primary practice located at 1544 Ashland Ave , River Forest IL 60305-1175. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zubkus, Tania Grace can be contacted via phone (708) 274-7945.Contact Information
Primary practice address
1544 Ashland Ave
River Forest IL 60305-1175
Phone: (708) 274-7945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.023639 | Illinois |
Profile Details
| NPI number | 1841806445 |
|---|---|
| LBN Legal business name | Zubkus, Tania Grace |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Jun 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841806445 | NPPES |
| Illinois | Other | 149.023639 | IDFPR |
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