Jessica Doyle Wall in Oak Park - Clinical
Jessica Doyle Wall - NPI 1508910308
Jessica Doyle Wall is a Clinical in Oak Park, Illinois. Jessica Doyle Wall practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Doyle Wall is 1508910308. The last update date is 2007-07-08.
Jessica Doyle Wall's current location address is 803a N Harlem Ave, Oak Park, Illinois. You can contact this provider via phone number 7083835940 and fax number 7083835940. The mailing address for Jessica Doyle Wall is 803a N Harlem Ave, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Doyle Wall |
|---|---|
| Address | 803a N Harlem Ave, Oak Park, Illinois |
| Phone Number | 7083835940 |
| Fax Number | 7083835940 |
| Sole Proprietor | Y |
| Credentials | A.M., LCSW |
NPI Number Detail
| NPI Number | 1508910308 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 803a N Harlem Ave |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603021627 |
| Phone Number | 7083835940 |
| Fax Number | 7083835940 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1622512 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Jessica Doyle Wall by the Centers for Medicare & Medicaid Services?
The Jessica Doyle Wall has been issued the NPI (National Provider Identifier) 1508910308. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jessica Doyle Wall?
The Jessica Doyle Wall is situated at 803A N Harlem Ave, in the city of Oak Park, state of IL, with the zip code 603021627.
What is the area of specialization for Jessica Doyle Wall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jessica Doyle Wall is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Jessica Doyle Wall receive its 1508910308 assignment from the Centers for Medicare & Medicaid Services?
The Jessica Doyle Wall was assigned its 1508910308 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jessica Doyle Wall most recently updated?
The details pertaining to the Jessica Doyle Wall, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.