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Contact Information

JEANETTE SIMON, PSY.D., C.A.D.C., LLC
1100 LAKE ST STE 210B
OAK PARK, IL60301-1015
 Phone: 708-628-7578
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEANETTE SIMON, PSY.D., C.A.D.C., LLC

NPI # 1265944029
LBN Legal business name JEANETTE SIMON, PSY.D., C.A.D.C., LLC
Authorized official JEANETTE SIMON - (CEO & FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2017
Last updated 11/08/2017 - About 9 years ago
Identifiers
IL License # 071005823
IL License # 4778
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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