Jacker, Lauren K

Jacker, Lauren K is an sole proprietor health care provider with primary practice located at 1893 Sheridan Rd #303, Highland Park IL 60035-2628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jacker, Lauren K can be contacted via phone (847) 831-9304.

Contact Information

Primary practice address
1893 Sheridan Rd #303 Highland Park IL 60035-2628
Phone: (847) 831-9304
Fax: (847) 831-9594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036065604 Illinois

Profile Details

NPI number 1154320042
LBN Legal business name Jacker, Lauren K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Mar 18th, 2015 - about 9 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 1154320042 NPPES
Illinois Other 31601732 BLUE CROSS BLUE SHIELD

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