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Contact Information

BRIAN R LAZZARO, PhD
325 S WESTERN AVE
PARK RIDGE, IL60068-3820
 Phone: 847-712-1445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRIAN R LAZZARO · (Male)

NPI # 1972054104
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/24/2016
Last updated 10/24/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071.009356
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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