Altman, Jeana

Altman, Jeana is an individual health care provider with primary practice located at 390 E Congress Pkwy Suite J, Crystal Lake IL 60014-6202. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Altman, Jeana can be contacted via phone (815) 356-5050.

Contact Information

Primary practice address
390 E Congress Pkwy Suite J Crystal Lake IL 60014-6202
Phone: (815) 356-5050
Fax: (815) 356-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1790887040
LBN Legal business name Altman, Jeana
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790887040 NPPES
Illinois Other 1633897 BCBS GROUP NUMBER
Illinois Other 320078 BCBS GROUP NUMBER

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