Individual
MS. JANA MARIE WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
375 N WALL ST STE P620, KANKAKEE, IL 60901-3487
(815) 928-5098
(815) 936-3850
Mailing address
375 N WALL ST STE P620, KANKAKEE, IL 60901-3487
(815) 928-5098
(815) 936-3850
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000128
IL
Other
Enumeration date
02/19/2009
Last updated
05/15/2019
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