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Contact Information

PAMELA E VANCOLLINS, MSW, LMSW, LPN, QMHP
7338 S DANTE AVE
CHICAGO, IL60619-2117
 Phone: 773-983-6066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for PAMELA E VANCOLLINS · (Female)

NPI # 1750029757
Status Active
Credentials MSW, LMSW, LPN, QMHP
Entity Individual
Enumeration date 05/20/2022
Last updated 05/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 43053264
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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