Individual
KARA JEANICE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3317 W 95TH ST STE 101, EVERGREEN PARK, IL 60805-2243
(708) 529-3011
Mailing address
3317 W 95TH ST STE 101, EVERGREEN PARK, IL 60805-2243
(708) 529-3011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105627
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922423508
GROUP NPI
IL
01
—
1922423508
GROUP NPI
—
Enumeration date
08/30/2022
Last updated
08/30/2022
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