| Dr Janet Chandler Llc | |
|
2036 W Farragut Ave Chicago IL 60625-1202 | |
| (773) 263-7804 | |
| Not Available |
| Full Name | Dr Janet Chandler Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2036 W Farragut Ave, Chicago, Illinois |
| Authorized Official Name and Position | Janet Chandler (OWNER) |
| Authorized Official Contact | 7732637804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Janet Chandler Llc 2036 W Farragut Ave Chicago IL 60625-1202 Ph: (773) 263-7804 | Dr Janet Chandler Llc 2036 W Farragut Ave Chicago IL 60625-1202 Ph: (773) 263-7804 |
| NPI Number | 1699549667 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 2567802390 |
|---|---|
| Medicare Enrollment ID | O20240426002637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699549667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Janet M Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033313218 PECOS PAC ID: 7315092350 Enrollment ID: I20090827000301 |
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