Individual
ELLYN ELIZABETH JAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
(312) 965-2997
Mailing address
150 W SAINT CHARLES RD APT 604, LOMBARD, IL 60148-2280
(630) 956-3827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-39429
IL
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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