| Jfsw, Inc. | |
|
7627 Lake St Ste 213 River Forest IL 60305-1878 | |
| (708) 488-8000 | |
| Not Available |
| Full Name | Jfsw, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7627 Lake St Ste 213, River Forest, Illinois |
| Authorized Official Name and Position | Richelle Marie Williams (PRESIDENT) |
| Authorized Official Contact | 7084888000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jfsw, Inc. 3648 Gunderson Ave Berwyn IL 60402-3878 Ph: (708) 788-1180 | Jfsw, Inc. 7627 Lake St Ste 213 River Forest IL 60305-1878 Ph: (708) 488-8000 |
| NPI Number | 1508931478 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508931478 | NPI | - | NPPES |
| 01633354 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-003418 (Illinois) | Secondary |
| 106H00000X | Marriage & Family Therapist | 166-000517 (Illinois) | Primary |
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