Organization
BRYN W. JESSUP, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYN W. JESSUP PH.D. (PRESIDENT)
(847) 501-5897
Entity
Organization
Contact information
Practice address
778 W FRONTAGE RD, SUITE 114, NORTHFIELD, IL 60093-1209
(847) 501-5897
(847) 501-5896
Mailing address
778 W FRONTAGE RD, SUITE 114, NORTHFIELD, IL 60093-1209
(847) 501-5897
(847) 501-5896
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Enumeration date
04/22/2007
Last updated
08/22/2020
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