Deyoung, Jodi
Deyoung, Jodi is an sole proprietor health care provider with primary practice located at 2907 Bliss Ct , Plainfield IL 60586-2833. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deyoung, Jodi can be contacted via phone (630) 234-0178.Contact Information
Primary practice address
2907 Bliss Ct
Plainfield IL 60586-2833
Phone: (630) 234-0178
Fax: (815) 609-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149006185 | Illinois |
Profile Details
| NPI number | 1164642641 |
|---|---|
| LBN Legal business name | Deyoung, Jodi |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Oct 26th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164642641 | NPPES |
| Illinois | MEDICAID | 149006185 |
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