Individual
MRS. JANA MARLENE SUSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1308 FOREST GLEN DR S, WINNETKA, IL 60093-1428
(773) 791-1397
Mailing address
1308 FOREST GLEN DR S, WINNETKA, IL 60093-1428
(773) 791-1397
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.013558
IL
Other
Enumeration date
03/16/2007
Last updated
02/21/2023
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