Organization
JSR ASSOCIATES IN PSYCHOLOGY, LLP
Active
Other names
Transformations
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CHERYL JAKSA PSY.D. (PARTNER)
(847) 405-0220
Entity
Organization
Contact information
Practice address
420 LAKE COOK RD, SUITE 113, DEERFIELD, IL 60015-5646
(847) 405-0220
(847) 405-0215
Mailing address
420 LAKE COOK RD, SUITE 113, DEERFIELD, IL 60015-5646
(847) 405-0220
(847) 405-0215
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
073000052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04972104
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/05/2007
Last updated
08/22/2020
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