Individual
DR. JENNIFER ANNETTE ROCCOFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1655 N ARLINGTON HTS RD, #304-E, ARLINGTON HEIGHTS, IL 60004
(847) 670-0880
(847) 670-1268
Mailing address
1542 HEATHER COURT, B-2, WHEELING, IL 60090
(847) 870-0811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634325
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
07/08/2007
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