Provider Demographics
NPI:1912239724
Name:JHA, ARUNA (PHD, MSW, MSED,)
Entity Type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:
Last Name:JHA
Suffix:
Gender:F
Credentials:PHD, MSW, MSED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2344
Mailing Address - Country:US
Mailing Address - Phone:639-730-3642
Mailing Address - Fax:
Practice Address - Street 1:5000 W NATIONAL AVENUE
Practice Address - Street 2:CLEMENT J. ZABLOCKI VA MEDICAL CENTER
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295
Practice Address - Country:US
Practice Address - Phone:920-831-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490112591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149011259OtherLICENSE - CLINICAL SOCIAL WORKER (LCSW)