National Provider Identifier Database

NICASA
Voluntary or Charitable


Contact Information

NICASA
31979 N FISH LAKE RD
ROUND LAKE, IL60073-9517
Phone: 847-546-6450
Fax: 847-546-6760
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for NICASA

NPI Number 1912950460
Legal business name
LBN
NICASA
Authorized official LINDA SNELTEN - (DIR OF ADMINISTRATION)
Entity Organization
Organization subpart No
Enumeration date 05/18/2006
Last updated 08/13/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: A-0614-0004-A

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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