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Contact Information

JESSICA KUBACKI
535 HINMAN AVE APT F3
EVANSTON, IL60202
 Phone: 224-730-9286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for JESSICA KUBACKI · (Female)

NPI # 1528574472
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2017
Last updated 01/02/2019 - About 9 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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