| Jill M Early Llc | |
|
703 Emmert Dr Sycamore IL 60178-2019 | |
| (630) 947-4271 | |
| Not Available |
| Full Name | Jill M Early Llc |
|---|---|
| Speciality | Social Worker |
| Location | 703 Emmert Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Jill Early (OWNER) |
| Authorized Official Contact | 6309474271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill M Early Llc 703 Emmert Dr Sycamore IL 60178-2019 Ph: (630) 947-4271 | Jill M Early Llc 703 Emmert Dr Sycamore IL 60178-2019 Ph: (630) 947-4271 |
| NPI Number | 1790467751 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 1850834482 |
|---|---|
| Medicare Enrollment ID | O20240624001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790467751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jill M Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891985495 PECOS PAC ID: 1153374376 Enrollment ID: I20050301000075 |
| Provider Name | Gina Lorraine Schonhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437847175 PECOS PAC ID: 0840725495 Enrollment ID: I20241120000692 |
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