Logston, Jennifer Keely

Logston, Jennifer Keely is an sole proprietor health care provider with primary practice located at 5010 Fairview Ave Ste 5 , Downers Grove IL 60515-5201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Logston, Jennifer Keely can be contacted via phone (630) 528-8855.

Contact Information

Primary practice address
5010 Fairview Ave Ste 5 Downers Grove IL 60515-5201
Phone: (630) 528-8855
Fax: (630) 541-6557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149008632 Illinois

Profile Details

NPI number 1841304094
LBN Legal business name Logston, Jennifer Keely
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jan 28th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1841304094 NPPES
Illinois Other 0002225381 BLUE CROSS BLUE SHIELD

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