Roberts, Jennifer A

Roberts, Jennifer A is an individual health care provider with primary practice located at 15 Spinning Wheel Road Suite 426, Hinsdale IL 60521-2914. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roberts, Jennifer A can be contacted via phone (630) 323-3050.

Contact Information

Primary practice address
15 Spinning Wheel Road Suite 426 Hinsdale IL 60521-2914
Phone: (630) 323-3050
Fax: (630) 323-3058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071007483 Illinois

Profile Details

NPI number 1083873129
LBN Legal business name Roberts, Jennifer A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jun 20th, 2012 - about 13 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 1083873129 NPPES
Illinois Other 1633920 BCBS

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