Stanley, Jade

Stanley, Jade is an sole proprietor health care provider with primary practice located at 831 Mulford St , Evanston IL 60202-6406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stanley, Jade can be contacted via phone (847) 866-8717.

Contact Information

Primary practice address
831 Mulford St Evanston IL 60202-6406
Phone: (847) 866-8717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-005764 Illinois

Profile Details

NPI number 1528233244
LBN Legal business name Stanley, Jade
Credentials DR.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - 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.

Request for update

Popular Providers