| Jamie Janssen Pc | |
|
1632 W Colonial Pkwy Ste 204 Inverness IL 60067-4725 | |
| (708) 363-3338 | |
| Not Available |
| Full Name | Jamie Janssen Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1632 W Colonial Pkwy Ste 204, Inverness, Illinois |
| Authorized Official Name and Position | Jamie J Janssen (OWNER) |
| Authorized Official Contact | 7083633338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Janssen Pc 1632 W Colonial Pkwy Ste 204 Inverness IL 60067-4725 Ph: (708) 363-3338 | Jamie Janssen Pc 1632 W Colonial Pkwy Ste 204 Inverness IL 60067-4725 Ph: (708) 363-3338 |
| NPI Number | 1871335034 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 8123569670 |
|---|---|
| Medicare Enrollment ID | O20240924002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871335034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jamie Jo Janssen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376728964 PECOS PAC ID: 9032650585 Enrollment ID: I20240924002695 |
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