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JENNA BAZELON
NPI 1861857674
Student in an Organized Health Care Education/Training Program in Highland Park, IL

Active since December 21, 2015
839 MOSELEY RD, HIGHLAND PARK, IL 60035(847) 745-5406 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jenna Bazelon NPPES

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

JENNA BAZELON (NPI 1861857674) is an individual student in an organized health care education/training program in Highland Park, Illinois and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1861857674
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNA BAZELON
Location Address839 MOSELEY RDHighland Park, IL 60035-4635
Mailing Address5150 Golf RdSkokie, IL 60077-1283 · (847) 745-5406
Phone(847) 745-5406
Sole ProprietorYes
Enumeration DateDecember 21, 2015
✔ NPI 1861857674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
839 MOSELEY RD, Highland Park, IL 60035
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY BAZELON LCPC, LLC
Community/Behavioral Health
839 MOSELEY RD
HIGHLAND PARK, IL 60035
Lake County (847) 707-5424
AMY BAZELON LCPC
Counselor (Professional)
839 MOSELEY RD
HIGHLAND PARK, IL 60035
Lake County (847) 707-5424

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 Jenna Bazelon's NPI number?

The NPI number for Jenna Bazelon is 1861857674. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Jenna Bazelon located?

Jenna Bazelon practices at 839 Moseley Rd, Highland Park, IL 60035. The listed phone number is (847) 745-5406.

What is Jenna Bazelon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jenna Bazelon was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.