Jessica Weisbach, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561
Phone: 8479714314

Jessica Weisbach, LLC (NPI# 1881291789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1881291789
Entity Type Organization
Organization Name JESSICA WEISBACH, LLC
Practice Address 2257 N Kedzie Blvd Apt 3
Chicago
IL 60647-2561
Practice Telephone 8479714314
Mailing Address 2257 N Kedzie Blvd Apt 3
Chicago
IL 60647-2561
Mailing Telephone 8479714314
Authorized Official Name Ms. Jessica Weisbach (OWNER/MENTAL HEALTH THERAPIST)
Authorized Official Telephone 8479714314
Authorized Official Credential LCSW
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-04
Last Update Date 2020-10-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2257 N KEDZIE BLVD APT 3
City CHICAGO
State IL
Zip Code 60647-2561

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164035879 Scott Spine and Health LLC Chiropractor 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 2020-08-24
1003424458 Emily Gleesing Physical Therapist 1923 N Western Ave, Chicago, IL 60647 2020-07-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1740772342 Envision Unlimited Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
1992297535 Envision Unlimited Case Management 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 2018-05-30
1942704580 Team Rehabilitation Il15, LLC Physical Therapist 1923 N Western Avenue, Chicago, IL 60647 2018-03-20
1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Student in an Organized Health Care Education/Training Program 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
1457872475 Stefanie Paola Maurtua Behavior Analyst 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 2017-06-29
1700322922 Lumen Optical Illinois 4, LLC Optometrist 2420 N Elston, Bucktown, IL 60647 2017-01-11
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Competitor

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City CHICAGO
Zip Code 60647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.