Ross, Jacqueline Rochelle
Ross, Jacqueline Rochelle is an sole proprietor health care provider with primary practice located at 1139 Leavitt Ave Unit 210, Flossmoor IL 60422-1550. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ross, Jacqueline Rochelle can be contacted via phone (708) 957-9420.Contact Information
Primary practice address
1139 Leavitt Ave Unit 210
Flossmoor IL 60422-1550
Phone: (708) 957-9420
Fax: (708) 365-6392
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178008975 | Illinois |
Profile Details
NPI number | 1770916165 |
---|---|
LBN Legal business name | Ross, Jacqueline Rochelle |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2013 |
Last updated | Aug 20th, 2013 - about 11 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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