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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407857873 NPPES
Illinois Other 1633897 BLUE CROSS BLUE SHIELD #

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