| Bryn W. Jessup, Phd, Pc | |
|
778 W Frontage Rd Suite 114 Northfield IL 60093-1209 | |
| (847) 501-5897 | |
| (847) 501-5896 |
| Full Name | Bryn W. Jessup, Phd, Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 778 W Frontage Rd, Northfield, Illinois |
| Authorized Official Name and Position | Bryn W. Jessup (PRESIDENT) |
| Authorized Official Contact | 8475015897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryn W. Jessup, Phd, Pc 778 W Frontage Rd Suite 114 Northfield IL 60093-1209 Ph: (847) 501-5897 | Bryn W. Jessup, Phd, Pc 778 W Frontage Rd Suite 114 Northfield IL 60093-1209 Ph: (847) 501-5897 |
| NPI Number | 1235357849 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235357849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
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