Kurth, Jennifer Lynn
Kurth, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 60 Revere Dr Ste 100 , Northbrook IL 60062-1590. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kurth, Jennifer Lynn can be contacted via phone (773) 301-7476.Contact Information
Primary practice address
60 Revere Dr Ste 100
Northbrook IL 60062-1590
Phone: (773) 301-7476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036113283 | Illinois |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036113283 | Illinois |
Profile Details
| NPI number | 1669524369 |
|---|---|
| LBN Legal business name | Kurth, Jennifer Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Feb 11th, 2015 - about 9 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 | 1669524369 | NPPES |
| Illinois | Other | 036113283 | ILLINOIS STATE LICENSE |
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