| Ashley Jessen, Llc | |
|
1633 N Cleveland Ave Chicago IL 60614-5685 | |
| (847) 910-5519 | |
| Not Available |
| Full Name | Ashley Jessen, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1633 N Cleveland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ashley Jessen (OWNER, THERAPIST) |
| Authorized Official Contact | 8479105519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Jessen, Llc 962 W Montana St Chicago IL 60614-2409 Ph: (847) 910-5519 | Ashley Jessen, Llc 1633 N Cleveland Ave Chicago IL 60614-5685 Ph: (847) 910-5519 |
| NPI Number | 1700377470 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700377470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.008492 (Illinois) | Primary |
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