Stark, Jill Susan

Stark, Jill Susan is an sole proprietor health care provider with primary practice located at 2293 Avalon Dr , Buffalo Grove IL 60089-4688. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Stark, Jill Susan can be contacted via phone (847) 275-3482.

Contact Information

Primary practice address
2293 Avalon Dr Buffalo Grove IL 60089-4688
Phone: (847) 275-3482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1538371786
LBN Legal business name Stark, Jill Susan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 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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