Individual
DR. JAN MARSDEN-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 LAKE COOK RD STE A, DEERFIELD, IL 60015-5201
(847) 964-2003
Mailing address
707 WESTGATE RD, DEERFIELD, IL 60015-3136
(847) 964-2003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634785
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/02/2006
Last updated
07/08/2007
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