Tucker, Jean M

Tucker, Jean M is an individual health care provider with primary practice located at 1375 E Schaumburg Rd Suite 220, Schaumburg IL 60194-5166. 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. Tucker, Jean M can be contacted via phone (847) 895-4540.

Contact Information

Primary practice address
1375 E Schaumburg Rd Suite 220 Schaumburg IL 60194-5166
Phone: (847) 895-4540
Fax: (847) 895-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 209.008253 Illinois

Profile Details

NPI number 1740596543
LBN Legal business name Tucker, Jean M
Credentials CNS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Sep 16th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740596543 NPPES
Illinois Other 209-008253 LICENSE ADVANCE PRACTICE NURSE

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