Backus, Jessica

Backus, Jessica is an individual health care provider with primary practice located at 1209 W Diversey Pkwy Unit G-2 , Chicago IL 60614-1201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Backus, Jessica can be contacted via phone (802) 922-4860.

Contact Information

Primary practice address
1209 W Diversey Pkwy Unit G-2 Chicago IL 60614-1201
Phone: (802) 922-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.018663 Illinois

Profile Details

NPI number 1649738550
LBN Legal business name Backus, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2019
Last updated Dec 3rd, 2022 - about 3 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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