MEDICARE: MRS. JENNIFER LYNN FORD LCPC

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
1	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1740492891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LYNN FORD LCPC

Provider Business Mailing Address
First Line	:	1933 W IRVING PARK RD
Second Line	:	UNIT 301
City	:	CHICAGO
State	:	IL
Zip	:	60613-5180
Country	:	US
Telephone Number	:	773-412-7711
Fax Number	:

Provider Business Practice Location Address
First Line	:	5547 N RAVENSWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1125
Country	:	US
Telephone Number	:	773-506-3044
Fax Number	:	773-769-9103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1326999277 — SAMANTHA CHEN LSW
Practice Location Address:

5547 N RAVENSWOOD AVE STE 303
CHICAGO, IL
60640-1125

Practice Phone: 773-820-9321
Practice Fax:

1336145853 — VICTOR C. NEUMANN ASSOCIATION
Practice Location Address:

5547 N RAVENSWOOD AVE
CHICAGO, IL
60640-1125

Practice Phone: 773-506-3201
Practice Fax: 773-769-1476

1649321944 — MR. DONALD M. GLENN LPC
Practice Location Address:

5547 N RAVENSWOOD AVE STE 409
CHICAGO, IL
60640-1125

Practice Phone: 312-576-3163
Practice Fax:

1457563546 — SHARLA KAY LEVY
Practice Location Address:

5547 N RAVENSWOOD AVE
CHICAGO, IL
60640-1125

Practice Phone: 773-769-4313
Practice Fax:

1740492628 — DR. CHARLES E BEHRENS PSY.D.
Practice Location Address:

5547 N RAVENSWOOD AVE
CHICAGO, IL
60640-1125

Practice Phone: 773-769-4313
Practice Fax: 773-769-1179

1043424831 — ALEXIS JAEGER LCSW
Practice Location Address:

5547 N RAVENSWOOD AVE
CHICAGO, IL
60640-1125

Practice Phone: 773-550-5823
Practice Fax:

Directions to “ MRS. JENNIFER LYNN FORD LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.