| Doctor Name: | JENNIFER K PATERAKIS |
| NPI Number: | 1053493247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S L.C.P.C |
| License Number: | |
| Business Practice Address: | 516 N Main St Ste A Glen Ellyn, IL - 601375175 |
| Business Phone Number: | 6308581075 |
| Business Fax Number: | 6307909984 |
| Mailing Address: | 516 N Main St Ste A, GLEN ELLYN |
| State: | IL |
| Postal Code: | 601375175 |
| Phone Number: | 6308581075 |
| Fax Number: | 6307909984 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |