Provider Demographics
NPI:1740497981
Name:JUSUFI THERAPEUTIC SERVICES INC
Entity type:Organization
Organization Name:JUSUFI THERAPEUTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORIJE
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSUFI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-338-8486
Mailing Address - Street 1:P.O. BOX 957412
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-7412
Mailing Address - Country:US
Mailing Address - Phone:847-338-8486
Mailing Address - Fax:847-925-1355
Practice Address - Street 1:2030 E ALGONQUIN RD
Practice Address - Street 2:SUITE 401
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4159
Practice Address - Country:US
Practice Address - Phone:847-338-8486
Practice Address - Fax:847-925-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490074131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1356373468OtherNPI INDIVIDUAL
IL1635122OtherBLUE CROSS