Fontana, Jennifer Marie

Fontana, Jennifer Marie is an individual health care provider with primary practice located at 5635 W Roosevelt Rd , Cicero IL 60804-1230. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fontana, Jennifer Marie can be contacted via phone (708) 652-6500.

Contact Information

Primary practice address
5635 W Roosevelt Rd Cicero IL 60804-1230
Phone: (708) 652-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 31246 Illinois

Profile Details

NPI number 1013378041
LBN Legal business name Fontana, Jennifer Marie
Credentials CADC, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated May 4th, 2016 - about 8 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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