Perry, Jasa

Perry, Jasa is an individual health care provider with primary practice located at 14447 S Bensley Ave , Burnham IL 60633-2224. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Perry, Jasa can be contacted via phone (708) 862-0212.

Contact Information

Primary practice address
14447 S Bensley Ave Burnham IL 60633-2224
Phone: (708) 862-0212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1407321458
LBN Legal business name Perry, Jasa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2018
Last updated Feb 22nd, 2021 - about 5 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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