Organization
JLSPENCER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A SPENCER PSY.D. (OWNER)
(630) 409-9700
Entity
Organization
Contact information
Practice address
16001 PALM DR, CREST HILL, IL 60403-0780
(815) 834-0585
Mailing address
16001 PALM DR, CREST HILL, IL 60403-0780
(815) 834-0585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006284
IL
Other
Enumeration date
06/15/2011
Last updated
06/30/2011
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