MRS. JENNIFER LYNN FORD


Address: 5547 N Ravenswood Ave, Chicago, IL 60640-1125
Phone: 7735063044

MRS. JENNIFER LYNN FORD (NPI# 1740492891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740492891
Entity Type Individual
Full Name MRS. JENNIFER LYNN FORD
Credential LCPC
Practice Address 5547 N Ravenswood Ave
Chicago
IL 60640-1125
Mailing Address 1933 W Irving Park Rd
Unit 301
Chicago
IL 60613-5180
Practice Telephone 7735063044
Practice Fax Number 7737699103
Mailing Telephone 7734127711
Enumeration Date 2007-05-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

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Office Location

Street Address 5547 N RAVENSWOOD AVE
City CHICAGO
State IL
Zip Code 60640-1125

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336145853 Victor C. Neumann Association Case Management 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2005-06-21
1467940437 Tyler Mueller Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2018-04-25
1003361247 Emma Macdougall Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2016-08-17
1578016051 Elisa Maurer Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2016-08-01
1770934838 Victor C Neumann Association Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5547 N Ravenswood Ave, 1st Floor, Chicago, IL 60640-1125 2016-06-29
1083018162 Mary Kulikowski Custodial Care Facility 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2014-10-17
1326458936 Allison Kathrine Templeton Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2014-05-05
1962832550 Cory Nietzke Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2013-11-18
1952678583 Erin Carroll Counselor 5547 N Ravenswood Ave, Chicago, IL 60640-1125 2011-11-28
1528211448 Eric G. Brooks Counselor 5547 N Ravenswood Ave, Chicago, IL 60640 2008-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1386121283 Aea Optical Ventures, LLC Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1023503885 Lauren Vassiliades Internal Medicine Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 2018-06-25
1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
1750802849 Umer Mukhtar Internal Medicine 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 2017-06-29
1184144081 Ellie Navidson Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1508463704 Tynisha Jointer Counselor 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 2020-10-01
1851908206 Manqual Chambers Counselor 2801 S King Dr, Chicago, IL 60616-2949 2020-09-29
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Competitor

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City CHICAGO
Zip Code 60640

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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.

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