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NPI Code Detail

MEDICARE: THE JOSSELYN CENTER NFP

MEDICARE: THE JOSSELYN CENTER NFP
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
1101Y00000XCounselor
2103T00000XPsychologist
3104100000XSocial Worker
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073548640
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE JOSSELYN CENTER NFP
Provider Business Mailing Address
First Line : 1135 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4118
Country : US
Telephone Number : 847-441-5600
Fax Number : 847-441-7968
Provider Business Practice Location Address
First Line : 1135 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4118
Country : US
Telephone Number : 847-441-5600
Fax Number : 847-441-7968
Authorized Official
Title or Position : PRESIDENT
Name : MS. SUSAN D RESKO
Credential :
Telephone Number : 847-441-5600
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/06/2025

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1861522211 — DR. NOORANI NOORANI MD
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1669829255 — ALYSON HARLAN
Practice Location Address:
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60062-4118
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Practice Fax:
1043850878 — MS. ANNETTE LEMANCIK
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1477170090 — JHOANA MENDOZA TORRES
Practice Location Address:
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Practice Fax:

Directions to “THE JOSSELYN CENTER NFP ” Practice Location

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