| Jep Therapy Llc | |
|
106 S Lincolnway North Aurora IL 60542-1663 | |
| (630) 801-1669 | |
| Not Available |
| Full Name | Jep Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 106 S Lincolnway, North Aurora, Illinois |
| Authorized Official Name and Position | Jared Elwart (MANAGER) |
| Authorized Official Contact | 6304371199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jep Therapy Llc 2782 Cranston Cir Yorkville IL 60560-4613 Ph: (630) 437-1199 | Jep Therapy Llc 106 S Lincolnway North Aurora IL 60542-1663 Ph: (630) 801-1669 |
| NPI Number | 1275215345 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 2961842471 |
|---|---|
| Medicare Enrollment ID | O20240501002127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275215345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jared Elwart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164193876 PECOS PAC ID: 9032559547 Enrollment ID: I20240501002215 |
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