Estrada, Jacqueline Eileen

Estrada, Jacqueline Eileen is an sole proprietor health care provider with primary practice located at 6058 S Tripp Ave , Chicago IL 60629-4925. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Estrada, Jacqueline Eileen can be contacted via phone (773) 993-4238.

Contact Information

Primary practice address
6058 S Tripp Ave Chicago IL 60629-4925
Phone: (773) 993-4238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.017419 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 2417811 Illinois

Profile Details

NPI number 1033972120
LBN Legal business name Estrada, Jacqueline Eileen
Credentials EDD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2024
Last updated Feb 1st, 2024 - about 10 months 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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