Mikulecky, Jessica
Mikulecky, Jessica is an sole proprietor health care provider with primary practice located at 11800 S 75Th Ave Third Floor, Palos Heights IL 60463-1033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mikulecky, Jessica can be contacted via phone (708) 671-8440.Contact Information
Primary practice address
11800 S 75Th Ave Third Floor
Palos Heights IL 60463-1033
Phone: (708) 671-8440
Fax: (708) 671-8446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.009650 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009204 | Illinois |
Profile Details
| NPI number | 1104247709 |
|---|---|
| LBN Legal business name | Mikulecky, Jessica |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2013 |
| Last updated | Dec 10th, 2015 - about 11 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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