Search › Illinois › 104100000X
Jennifer Larsen, LCSW
NPI 1396394649 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12 Health Services Dr
Dekalb, IL 60115 - Phone
- (815) 756-4875
- Organisation at this address
- Ben Gordon Center
Ben Gordon Center
Ben Gordon Center
Ben Gordon Center
Northwestern MedicineInferred from a shared address, not stated in the registry. - Clinicians at this address
- 238
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois