Birks, Jacqueline Ellen
Birks, Jacqueline Ellen is an individual health care provider with primary practice located at 408 Braemar Ave , Naperville IL 60563-1301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Birks, Jacqueline Ellen can be contacted via phone (630) 961-2053.Contact Information
Primary practice address
408 Braemar Ave
Naperville IL 60563-1301
Phone: (630) 961-2053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178.008669 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1669725701 |
|---|---|
| LBN Legal business name | Birks, Jacqueline Ellen |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Mar 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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