Jack, Kathryn B

Jack, Kathryn B is an individual health care provider with primary practice located at 490 E Roosevelt Rd Ste 205 , West Chicago IL 60185-3901. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jack, Kathryn B can be contacted via phone (630) 779-0972.

Contact Information

Primary practice address
490 E Roosevelt Rd Ste 205 West Chicago IL 60185-3901
Phone: (630) 779-0972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180005428 Illinois

Profile Details

NPI number 1083768642
LBN Legal business name Jack, Kathryn B
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 20th, 2011 - about 13 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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