Juss, Raphael A
Juss, Raphael A is an individual health care provider with primary practice located at 1300 N Lake Shore Drive Suite 13D, Chicago IL 60610-2193. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Juss, Raphael A can be contacted via phone (312) 642-7785.Contact Information
Primary practice address
1300 N Lake Shore Drive Suite 13D
Chicago IL 60610-2193
Phone: (312) 642-7785
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 365 | Tennessee |
Behavioral Health & Social Service Providers / School | 103TS0200X | 10580 | |
Behavioral Health & Social Service Providers / School | 103TS0200X | 969747 | Illinois |
Behavioral Health & Social Service Providers / School | 103TS0200X | 1233025 | |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMT 145 | Tennessee |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
NPI number | 1689864126 |
---|---|
LBN Legal business name | Juss, Raphael A |
Credentials | EDD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2007 |
Last updated | Jul 31st, 2007 - about 17 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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