Jabs, Carol Ann

Jabs, Carol Ann is an individual health care provider with primary practice located at 7400 Augusta Street , River Forest IL 60305-1402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jabs, Carol Ann can be contacted via phone (708) 209-3145.

Contact Information

Primary practice address
7400 Augusta Street River Forest IL 60305-1402
Fax: (708) 209-3176
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149000724 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000409 Illinois

Profile Details

NPI number 1154485290
LBN Legal business name Jabs, Carol Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 15th, 2014 - about 11 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 1154485290 NPPES
Illinois Other 0001632509 BCBS PROVIDER NUMBER

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