| The Jellybean Collective, Pllc | |
|
65 S. Randall Rd. Unit 113 North Aurora IL 60542 | |
| (708) 406-9506 | |
| Not Available |
| Full Name | The Jellybean Collective, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 65 S. Randall Rd., North Aurora, Illinois |
| Authorized Official Name and Position | Jessica M. Grayer-brumfield (OWNER) |
| Authorized Official Contact | 7083590983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jellybean Collective, Pllc 472 N Sugar Grove Pkwy Ste F328 Sugar Grove IL 60554-8107 Ph: () - | The Jellybean Collective, Pllc 65 S. Randall Rd. Unit 113 North Aurora IL 60542 Ph: (708) 406-9506 |
| NPI Number | 1417769092 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417769092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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