Jaclyn Ross Phd Pllc

LBN: Jaclyn Ross Phd Pllc
Jaclyn Ross Phd Pllc is an health care organization with primary practice located at 53 W Jackson Blvd Ste 336 , Chicago IL 60604-3688. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Jaclyn Ross Phd Pllc can be contacted via phone (708) 665-4721, or through Ross, Jaclyn via phone (312) 210-0374.

Contact Information

Primary practice address
53 W Jackson Blvd Ste 336 Chicago IL 60604-3688
Phone: (708) 665-4721
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ross, Jaclyn PHD
Phone: (312) 210-0374

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1881455012
LBN Legal business name Jaclyn Ross Phd Pllc
DBA Doing business as
Authorized official Ross, Jaclyn PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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