Roman, Jorge

Roman, Jorge is an sole proprietor health care provider with primary practice located at 650 Dakota St Ste A , Crystal Lake IL 60012-3744. He 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 / Clinical is his primary health care specialty. Roman, Jorge can be contacted via phone (815) 334-5018.

Contact Information

Primary practice address
650 Dakota St Ste A Crystal Lake IL 60012-3744
Phone: (815) 334-5018
Fax: (815) 356-1104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149023741 Illinois

Profile Details

NPI number 1003343096
LBN Legal business name Roman, Jorge
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2017
Last updated Apr 12th, 2022 - about 4 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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