Severson, Karen Jennifer

Severson, Karen Jennifer is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Severson, Karen Jennifer can be contacted via phone (708) 783-2226.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 112436 Montana
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0101274808 Virginia
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME82581 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036159725 Illinois

Profile Details

NPI number 1689787426
LBN Legal business name Severson, Karen Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Apr 2nd, 2024 - about 8 months 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 1689787426 NPPES
Florida MEDICAID 261542800

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