MEDICARE: DR. JENNIFER S CARUSO 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
1	103T00000X	Psychologist	071010529	IL

General Provider Information

NPI Number	:	1760856751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER S CARUSO PSY.D.

Provider Business Mailing Address
First Line	:	4902 WEST SHAMROCK LANE
Second Line	:	UNIT C
City	:	MCHENRY
State	:	IL
Zip	:	60050
Country	:	US
Telephone Number	:	815-344-9443
Fax Number	:	815-344-9445

Provider Business Practice Location Address
First Line	:	4902 WEST SHAMROCK LANE
Second Line	:	UNIT C
City	:	MCHENRY
State	:	IL
Zip	:	60050
Country	:	US
Telephone Number	:	815-344-9443
Fax Number	:	815-344-9445

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

Provider Enumeration Date	:	11/14/2015
Last Update Date	:	01/12/2026

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