Individual
DR. JAN L. FITZHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2604 DEMPSTER ST, SUITE 307, PARK RIDGE, IL 60068-8412
(847) 544-5102
(847) 544-5103
Mailing address
756 LINCOLN AVE, WINNETKA, IL 60093-1919
(847) 530-2444
(847) 441-0551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-00648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632426
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/25/2006
Last updated
07/08/2007
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