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Contact Information

JOAN AJIDE
977 LAKEVIEW PKWY
VERNON HILLS, IL60061-1400
 Phone: 847-367-1611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOAN AJIDE · (Female)

NPI Number 1013512243
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2020
Last updated 05/20/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041342473
  • IL License # 209022486
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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