Individual
MS. JAN WENDY ITZKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMFT
Contact information
Practice address
404 INDIAN HILL DR, BUFFALO GROVE, IL 60089-3208
(847) 459-1737
(847) 459-1737
Mailing address
404 INDIAN HILL DR, BUFFALO GROVE, IL 60089-3208
(847) 459-1737
(847) 459-1737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011281622
HUMANA
IL
01
—
04932072
BLU CROSS/BLUE SHIELD
IL
Enumeration date
02/20/2006
Last updated
06/27/2015
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