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Individual

JEANA ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
390 E CONGRESS PKWY, SUITE J, CRYSTAL LAKE, IL 60014-6202
(815) 356-5050
(815) 356-5094
Mailing address
1701 E. WOODFIELD ROAD, SUITE 1000, SCHAUMBURG, IL 60173-5113
(815) 356-5050
(847) 240-2418

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633897
BCBS GROUP NUMBER
IL
01
320078
VALUE OPTIONS GRP #
IL
Enumeration date
09/05/2006
Last updated
07/08/2007
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