Individual
MS. JANIS L HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC-LSP
Contact information
Practice address
154 E 162ND LN, SOUTH HOLLAND, IL 60473-2197
(708) 699-5292
(708) 596-4224
Mailing address
PO BOX 1086, CALUMET CITY, IL 60409-1086
(708) 699-5292
(708) 596-4224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634720
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/14/2006
Last updated
07/08/2007
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