| Doctor Name: | ROBERT DENNIS JASKULA |
| NPI Number: | 1073859948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 149.005621 |
| Business Practice Address: | 5848 W 36th St Cicero, IL - 608044259 |
| Business Phone Number: | 7084088475 |
| Business Fax Number: | 7082220219 |
| Mailing Address: | 5848 W 36th St, CICERO |
| State: | IL |
| Postal Code: | 608044259 |
| Phone Number: | 7084088475 |
| Fax Number: | 7082220219 |
| NPI Enumeration Date: | 12/21/2012 |
| NPI Last Update Date: | 12/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.005621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |