Urban, Jessica

Urban, Jessica is an sole proprietor health care provider with primary practice located at 391 North Ave , Antioch IL 60002-3204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Urban, Jessica can be contacted via phone (224) 678-1710.

Contact Information

Primary practice address
391 North Ave Antioch IL 60002-3204
Phone: (224) 678-1710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5951 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149016169 Illinois

Profile Details

NPI number 1821444506
LBN Legal business name Urban, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2016
Last updated Nov 24th, 2022 - about 2 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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