Individual
JANA JEAN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 RYAN PL, LAKE FOREST, IL 60045-2439
(847) 615-2808
Mailing address
620 RYAN PL, LAKE FOREST, IL 60045-2439
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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