| Jlspencer Ltd | |
|
16001 Palm Dr Crest Hill IL 60403-0780 | |
| (815) 834-0585 | |
| Not Available |
| Full Name | Jlspencer Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 16001 Palm Dr, Crest Hill, Illinois |
| Authorized Official Name and Position | Jennifer A Spencer (OWNER) |
| Authorized Official Contact | 6304099700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlspencer Ltd 16001 Palm Dr Crest Hill IL 60403-0780 Ph: (815) 834-0585 | Jlspencer Ltd 16001 Palm Dr Crest Hill IL 60403-0780 Ph: (815) 834-0585 |
| NPI Number | 1295020568 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295020568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006284 (Illinois) | Primary |
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