Individual
JANET M IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Mailing address
15127 S 73RD AVE, SUITE G, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005760
IL
Other
Enumeration date
02/24/2006
Last updated
08/05/2010
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