Crockett, Jill

Crockett, Jill is an sole proprietor health care provider with primary practice located at 111 S Grant St , Hinsdale IL 60521-4050. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Crockett, Jill can be contacted via phone (630) 240-0823.

Contact Information

Primary practice address
111 S Grant St Hinsdale IL 60521-4050
Phone: (630) 240-0823
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1356469563
LBN Legal business name Crockett, Jill
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
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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