Froberg, Jacqueline A.

Froberg, Jacqueline A. is an sole proprietor health care provider with primary practice located at 6262 Kingery Hwy Suite 302, Willowbrook IL 60527-2985. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Froberg, Jacqueline A. can be contacted via phone (630) 654-6660.

Contact Information

Primary practice address
6262 Kingery Hwy Suite 302 Willowbrook IL 60527-2985
Phone: (630) 654-6660
Fax: (630) 654-1904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5016 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X Illinois

Profile Details

NPI number 1205931979
LBN Legal business name Froberg, Jacqueline A.
Credentials L.C.S.W. R.N. CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1205931979 NPPES
Illinois Other 02225890 BLUE CROSS BLUE SHIELD

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