Individual
MRS. JANE ANN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTH
Contact information
Practice address
425 SPRINGFIELD ST, PARK FOREST, IL 60466-1052
(708) 748-7965
(708) 748-1501
Mailing address
425 SPRINGFIELD ST, PARK FOREST, IL 60466-1052
(708) 748-7965
(708) 748-1501
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JD16550498D
IL
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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