Herbert, Jacalyn

Herbert, Jacalyn is an individual health care provider with primary practice located at 1701 E. Woodfield Road Suite 1000, Schaumburg IL 60173-5113. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Herbert, Jacalyn can be contacted via phone (847) 240-2211.

Contact Information

Primary practice address
1701 E. Woodfield Road Suite 1000 Schaumburg IL 60173-5113
Fax: (847) 240-2418
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033289095
LBN Legal business name Herbert, Jacalyn
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033289095 NPPES
Illinois Other 1633897 BCBS GROUP NUMBER

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