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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154320042 | NPPES |
| Illinois | Other | 31601732 | BLUE CROSS BLUE SHIELD |
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