Jacob, Kathleen Callaghan
Jacob, Kathleen Callaghan is an sole proprietor health care provider with primary practice located at 935 Curtiss St Suite 7, Downers Grove IL 60515-4763. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacob, Kathleen Callaghan can be contacted via phone (773) 787-7763.Contact Information
Primary practice address
935 Curtiss St Suite 7
Downers Grove IL 60515-4763
Phone: (773) 787-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149005843 | Illinois |
Profile Details
| NPI number | 1700865128 |
|---|---|
| LBN Legal business name | Jacob, Kathleen Callaghan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Aug 12th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700865128 | NPPES |
| Illinois | Other | 01621910 | BLUE CROSS BLUE SHIELD |
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