Jock, Craig Whitney
Jock, Craig Whitney is an individual health care provider with primary practice located at 4200 N Oak Park Ave Psychology Department, Chicago IL 60634-1417. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jock, Craig Whitney can be contacted via phone (773) 794-3777.Contact Information
Primary practice address
4200 N Oak Park Ave Psychology Department
Chicago IL 60634-1417
Phone: (773) 794-3777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006927 | Illinois |
Profile Details
| NPI number | 1407857873 |
|---|---|
| LBN Legal business name | Jock, Craig Whitney |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407857873 | NPPES |
| Illinois | Other | 1633897 | BLUE CROSS BLUE SHIELD # |
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