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General NPI Number Information
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NPI Number | 1104773084
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Entity Type | Organization
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Legal Business Name | JENNIFER VERSASKAS, LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1000 JORIE BLVD STE 48
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City | OAK BROOK
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State | IL
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Zip | 60523-4498
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Country | US
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Telephone | 630-974-6880
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 JORIE BLVD STE 48
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City | OAK BROOK
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State | IL
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Zip | 60523-4498
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Country | US
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Telephone | 630-974-6880
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER VERSASKAS
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Credential | LCSW
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Telephone | 630-967-4651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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