Individual
JAN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
850 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3227
(847) 549-8200
Mailing address
850 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3227
(847) 549-8200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000142
IL
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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