Strazar, Jean Ellen

Strazar, Jean Ellen is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Strazar, Jean Ellen can be contacted via phone (618) 877-4420.

Contact Information

Primary practice address
50 Northgate Industrial Dr Granite City IL 62040
Phone: (618) 877-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 309.003146 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209-005871 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 309.003146 Illinois

Profile Details

NPI number 1588705651
LBN Legal business name Strazar, Jean Ellen
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 7th, 2023 - about 3 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 1588705651 NPPES
Illinois Other 209.005871 STATE LICENSURE
Illinois Other 309.003146 STATE LICENSURE
Illinois Other 041.214555 STATE LICENSURE

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