Individual
JEFFIN BABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 W WRIGHTWOOD AVE, CHICAGO, IL 60614-2539
(773) 672-9815
Mailing address
1522 WEBSTER LN, DES PLAINES, IL 60018-1424
(224) 410-6972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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