Martin, Jennifer

Martin, Jennifer is an sole proprietor health care provider with primary practice located at 2031 Sheridan Rd , Highland Park IL 60035-2401. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Martin, Jennifer can be contacted via phone (224) 765-3300.

Contact Information

Primary practice address
2031 Sheridan Rd Highland Park IL 60035-2401
Phone: (224) 765-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1842735 Illinois

Profile Details

NPI number 1497262208
LBN Legal business name Martin, Jennifer
Credentials ED.S., NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2018
Last updated Jan 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497262208 NPPES
Illinois Other 1842735 IL STATE BOARD OF ED - PROFESSIONAL EDUCATOR LICENSE

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