Kruse, Jacquelyn C

Kruse, Jacquelyn C is an sole proprietor health care provider with primary practice located at 1814 Grandstand Place , Elgin IL 60123-4981. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kruse, Jacquelyn C can be contacted via phone (847) 622-0002.

Contact Information

Primary practice address
1814 Grandstand Place Elgin IL 60123-4981
Phone: (847) 622-0002
Fax: (847) 622-0002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1760607246
LBN Legal business name Kruse, Jacquelyn C
Credentials M.S. L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 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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