Individual
DR. JANET S PEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
233 E ERIE ST, STE 608, CHICAGO, IL 60611-5934
(312) 335-9910
Mailing address
233 E ERIE ST, STE 608, CHICAGO, IL 60611-5934
(312) 335-9910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672592
BCBS
—
01
—
226334
MAGELLAN MIS
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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