Jamie J. Boudreau, Ltd

LBN: Jamie J. Boudreau, Ltd
Jamie J. Boudreau, Ltd is an health care organization with primary practice located at 183 E North St , Bradley IL 60915-1268. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jamie J. Boudreau, Ltd can be contacted via phone (815) 933-4072, or through Boudreau, Jamie J. via phone (815) 933-4072.

Contact Information

Primary practice address
183 E North St Bradley IL 60915-1268
Phone: (815) 933-4072
Fax: (815) 933-5564
Website:
Map and Directions
Authorized official contact:
Name: Boudreau, Jamie J. M.A., LCPC
Phone: (815) 933-4072

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548454382
LBN Legal business name Jamie J. Boudreau, Ltd
DBA Doing business as
Authorized official Boudreau, Jamie J. M.A., LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548454382 NPPES
Illinois Other 0004623038 BC/BS OF ILLINOIS

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