JESSICA WEISBACH, LLC


Address: 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561
Phone: 8479714314

JESSICA WEISBACH, LLC (NPI# 1881291789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881291789
Entity Type Organization
Organization Name JESSICA WEISBACH, LLC
Practice Address 2257 N Kedzie Blvd Apt 3
Chicago
IL 60647-2561
Practice Telephone 8479714314
Mailing Telephone 8479714314
Enumeration Date 2020-10-04
Last Update Date 2020-10-04
Authorized Official Name MS. JESSICA WEISBACH (OWNER/MENTAL HEALTH THERAPIST)
Authorized Official Telephone 8479714314
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 2257 N KEDZIE BLVD APT 3
City CHICAGO
State IL
Zip Code 60647-2561

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1740772342 Envision Unlimited Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
1992297535 Envision Unlimited Case Management 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 2018-05-30
1942704580 Team Rehabilitation Il15, LLC Physical Therapist 1923 N Western Avenue, Chicago, IL 60647 2018-03-20
1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
1457872475 Stefanie Paola Maurtua Behavioral Analyst 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 2017-06-29
1700322922 Lumen Optical Illinois 4, LLC Optometrist 2420 N Elston, Bucktown, IL 60647 2017-01-11
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
1144837055 Totality. Therapies LLC Clinic/Center 2027 W Division St Ste 157, Chicago, IL 60622-9024 2020-09-24
1790391373 Luminary Solutions, LLC Clinic/Center 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 2020-09-19
1114533924 A Safe Haven, L.L.C. Clinic/Center 600 S Wabash Ave, Chicago, IL 60605-1808 2020-09-17
1235745142 A Safe Haven, L.L.C. Clinic/Center 7355 N Damen Ave, Chicago, IL 60645-2311 2020-09-17
1386250199 A Safe Haven, L.L.C. Clinic/Center 7342-46 S Kingston, Chicago, IL 60649 2020-09-17
1770199689 A Safe Haven, L.L.C. Clinic/Center 1930 S Wabash Ave Ste C1, Chicago, IL 60616-4651 2020-09-17
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Competitor

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City CHICAGO
Zip Code 60647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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