Individual provider · Type 1 NPI

Nicole Jacques, LSW

Psychiatry Physician · Libertyville, IL

NPI number 1013870609 Active

Practice location

1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312

Call (262) 496-5863 Map

Mailing address

2002 16th Ave
Kenosha, WI 53140-4711

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800X115845 (IL)
Neurology Physician 2084N0400X115845 (IL)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1013870609

Nicole Jacques, LSW's National Provider Identifier is 1013870609, issued on Dec 9, 2025. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Libertyville, IL. The record was last updated on Dec 9, 2025.