Ruzich, Jean R

Ruzich, Jean R is an individual health care provider with primary practice located at 9631 W 153Rd St Suite 37, Orland Park IL 60462. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ruzich, Jean R can be contacted via phone (708) 764-5201.

Contact Information

Primary practice address
9631 W 153Rd St Suite 37 Orland Park IL 60462
Fax: (708) 361-1781
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1184731218
LBN Legal business name Ruzich, Jean R
Credentials MA LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184731218 NPPES
Other 1632448 BCBS

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