| Karen L. Jaffe Psy.d. Ltd | |
|
30 N Michigan Ave Suite 607 Chicago IL 60602-3402 | |
| (312) 263-1780 | |
| Not Available |
| Full Name | Karen L. Jaffe Psy.d. Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 30 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Karen L. Jaffe (PRESIDENT) |
| Authorized Official Contact | 3122631780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen L. Jaffe Psy.d. Ltd 30 N Michigan Ave Suite 607 Chicago IL 60602-3402 Ph: () - | Karen L. Jaffe Psy.d. Ltd 30 N Michigan Ave Suite 607 Chicago IL 60602-3402 Ph: (312) 263-1780 |
| NPI Number | 1225135312 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3577568898 |
|---|---|
| Medicare Enrollment ID | O20060920000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225135312 | NPI | - | NPPES |
| 1154357044 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| Provider Name | Karen L Jaffe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154357044 PECOS PAC ID: 6002811320 Enrollment ID: I20060920000253 |
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