Boender, Jennifer Alice

Boender, Jennifer Alice is an sole proprietor health care provider with primary practice located at 15601 Cicero Ave Suite 103, Oak Forest IL 60452-3635. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boender, Jennifer Alice can be contacted via phone (708) 687-3479.

Contact Information

Primary practice address
15601 Cicero Ave Suite 103 Oak Forest IL 60452-3635
Phone: (708) 687-3479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178006381 Illinois

Profile Details

NPI number 1023345733
LBN Legal business name Boender, Jennifer Alice
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - about 16 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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