Rea, Jacqueline Grace

Rea, Jacqueline Grace is an sole proprietor health care provider with primary practice located at 10730 W 143Rd St Ste 37 , Orland Park IL 60462-1940. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Rea, Jacqueline Grace can be contacted via phone (800) 564-0863.

Contact Information

Primary practice address
10730 W 143Rd St Ste 37 Orland Park IL 60462-1940
Phone: (800) 564-0863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071007463 Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071007463 Illinois

Profile Details

NPI number 1487829867
LBN Legal business name Rea, Jacqueline Grace
Credentials PHD, ABPP-CN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Nov 25th, 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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