Stern, Janice E
Stern, Janice E is an sole proprietor health care provider with primary practice located at 1645 W Jackson Blvd Ste 602 , Chicago IL 60612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stern, Janice E can be contacted via phone (312) 942-8387.Contact Information
Primary practice address
1645 W Jackson Blvd Ste 602
Chicago IL 60612
Phone: (312) 942-8387
Fax: (312) 942-8374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP0005491 | Washington |
Profile Details
NPI number | 1720003577 |
---|---|
LBN Legal business name | Stern, Janice E |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 13th, 2006 |
Last updated | Nov 8th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720003577 | NPPES |
Washington | Other | 0201797 | L&I |
Washington | MEDICAID | 9636879 | L&I |
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