Jamie Mirocha

LBN: Jamie Mirocha
Jamie Mirocha is an health care organization with primary practice located at 24012 W Renwick Rd Ste 204A , Plainfield IL 60544-8733. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jamie Mirocha can be contacted via phone (815) 676-4688, or through Mirocha, Jamie via phone (815) 676-4688.

Contact Information

Primary practice address
24012 W Renwick Rd Ste 204A Plainfield IL 60544-8733
Phone: (815) 676-4688
Fax: (815) 676-4498
Website:
Map and Directions
Authorized official contact:
Name: Mirocha, Jamie LCSW, CADC
Phone: (815) 676-4688

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149017464 Illinois

Profile Details

NPI number 1720463847
LBN Legal business name Jamie Mirocha
DBA Doing business as
Authorized official Mirocha, Jamie LCSW, CADC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 9 years ago

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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