Petchenik, Jodi

Petchenik, Jodi is an sole proprietor health care provider with primary practice located at 2726 Hawthorn Ln , Wilmette IL 60091-2140. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petchenik, Jodi can be contacted via phone (847) 650-4444.

Contact Information

Primary practice address
2726 Hawthorn Ln Wilmette IL 60091-2140
Phone: (847) 650-4444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149010494 Illinois

Profile Details

NPI number 1154488179
LBN Legal business name Petchenik, Jodi
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Dec 12th, 2017 - 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.

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