Stern, Janice E

Stern, Janice E is an sole proprietor health care provider with primary practice located at 1645 W Jackson Blvd Ste 602 , Chicago IL 60612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stern, Janice E can be contacted via phone (312) 942-8387.

Contact Information

Primary practice address
1645 W Jackson Blvd Ste 602 Chicago IL 60612
Phone: (312) 942-8387
Fax: (312) 942-8374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP0005491 Washington

Profile Details

NPI number 1720003577
LBN Legal business name Stern, Janice E
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Nov 8th, 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 1720003577 NPPES
Washington Other 0201797 L&I
Washington MEDICAID 9636879 L&I

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