Jakubiak, Amy Marie
Jakubiak, Amy Marie is an sole proprietor health care provider with primary practice located at 72 S La Grange Rd Ste 12 , La Grange IL 60525-6317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jakubiak, Amy Marie can be contacted via phone (773) 507-3631.Contact Information
Primary practice address
72 S La Grange Rd Ste 12
La Grange IL 60525-6317
Phone: (773) 507-3631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.015364 | Illinois |
Profile Details
| NPI number | 1851701726 |
|---|---|
| LBN Legal business name | Jakubiak, Amy Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2014 |
| Last updated | Aug 20th, 2021 - about 3 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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