Skogmo, Jerry

Skogmo, Jerry is an individual health care provider with primary practice located at 1501 W Dundee Rd Suite 106, Buffalo Grove IL 60089-4006. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Skogmo, Jerry can be contacted via phone (847) 634-8883.

Contact Information

Primary practice address
1501 W Dundee Rd Suite 106 Buffalo Grove IL 60089-4006
Phone: (847) 634-8883
Fax: (847) 821-0065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1083742738
LBN Legal business name Skogmo, Jerry
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
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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