KATHRYN B JACK LCPC
NPI 1083768642
Counselor - Mental Health in West Chicago, IL

Active since January 22, 2007
490 E ROOSEVELT RD STE 205, WEST CHICAGO, IL 60185(630) 779-0972 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn B Jack Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN B JACK LCPC (NPI 1083768642) is an individual mental health provider in West Chicago, Illinois, licensed in Illinois (180005428) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083768642
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN B JACKCredential: LCPC
Location Address490 E ROOSEVELT RD STE 205West Chicago, IL 60185-3901
Mailing Address490 E Roosevelt Rd Ste 205West Chicago, IL 60185-3901 · (630) 779-0972
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 20, 2011
NPI 1083768642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180005428
490 E ROOSEVELT RD STE 205, West Chicago, IL 60185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Jack's NPI number?

The NPI number for Kathryn Jack is 1083768642. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Kathryn Jack located?

Kathryn Jack practices at 490 E Roosevelt Rd Ste 205, West Chicago, IL 60185. The listed phone number is (630) 779-0972.

What is Kathryn Jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kathryn Jack was last updated on December 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.