Individual
MISS SUSAN ASHLEY JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
888 CONGDON AVE UNIT 19, ELGIN, IL 60120-2570
(773) 530-9900
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041434883
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.034536
IL
Other
Enumeration date
10/06/2021
Last updated
01/26/2026
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