Pfaff, Jennifer A.

Pfaff, Jennifer A. is an individual health care provider with primary practice located at 960 Rand Rd 215, Des Plaines IL 60016-2352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pfaff, Jennifer A. can be contacted via phone (847) 699-2100.

Contact Information

Primary practice address
960 Rand Rd 215 Des Plaines IL 60016-2352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149014867 Illinois

Profile Details

NPI number 1881603637
LBN Legal business name Pfaff, Jennifer A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Sep 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881603637 NPPES
Indiana Other 000000618201 ANTHEM
Indiana MEDICAID 100270530A ANTHEM

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