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NPI Code Detail

MEDICARE: DR. JENNIFER L ROLNICK PSY.D.

MEDICARE: DR. JENNIFER L ROLNICK PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist071.008423IL

General Provider Information

NPI Number : 1013221902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER L ROLNICK PSY.D.
Provider Business Mailing Address
First Line : 25 E WASHINGTON ST # 1
Second Line :
City : CHICAGO
State : IL
Zip : 60602-1708
Country : US
Telephone Number : 312-498-9715
Fax Number :
Provider Business Practice Location Address
First Line : 333 N MICHIGAN AVE STE 1900
Second Line :
City : CHICAGO
State : IL
Zip : 60601-3994
Country : US
Telephone Number : 773-321-2797
Fax Number : 312-540-0944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 01/25/2024

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