Chiarello, Jennifer

Chiarello, Jennifer is an individual health care provider with primary practice located at 882 W Nippersink Rd , Round Lake IL 60073-3701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chiarello, Jennifer can be contacted via phone (847) 270-9920.

Contact Information

Primary practice address
882 W Nippersink Rd Round Lake IL 60073-3701
Fax:
Website:

Profile Details

NPI number 1518515774
LBN Legal business name Chiarello, Jennifer
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2019
Last updated Aug 30th, 2019 - about 6 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 1518515774 NPPES
Illinois MEDICAID 1477677763

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