Jarczok, Susanne
Jarczok, Susanne is an sole proprietor health care provider with primary practice located at 10001 Grand Ave , Franklin Park IL 60131-2563. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jarczok, Susanne can be contacted via phone (847) 451-0330.Contact Information
Primary practice address
10001 Grand Ave
Franklin Park IL 60131-2563
Phone: (847) 451-0330
Fax: (847) 451-1652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149009602 | Illinois |
Profile Details
| NPI number | 1982733531 |
|---|---|
| LBN Legal business name | Jarczok, Susanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | May 10th, 2011 - about 13 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 | 1982733531 | NPPES |
| Illinois | MEDICAID | 362235147 |
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