Individual
MR. JAN PATRICK ANNARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M ED
Contact information
Practice address
4956 N OAKLEY AVE, CHICAGO, IL 60625-1926
(773) 561-5436
Mailing address
4956 N OAKLEY AVE, CHICAGO, IL 60625-1926
(773) 561-5436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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