Individual
JANET H CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.S.B.
Contact information
Practice address
1619 SHERMAN AVE, EVANSTON, IL 60201-3710
(847) 220-2089
Mailing address
225 LAKE ST, EVANSTON, IL 60201-4615
(847) 220-2089
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
374K0000X
MA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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