Oliver, Jana

Oliver, Jana is an individual health care provider with primary practice located at 10425 S Kolmar Ave , Oak Lawn IL 60453-4847. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Oliver, Jana can be contacted via phone (708) 422-1800.

Contact Information

Primary practice address
10425 S Kolmar Ave Oak Lawn IL 60453-4847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1972110294
LBN Legal business name Oliver, Jana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972110294 NPPES
Illinois MEDICAID UNKNOWN

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