Individual
DR. JANE DOROTHY CONRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 S MICHIGAN AVE, #1025, CHICAGO, IL 60603-6191
(773) 859-1718
Mailing address
6007 N SHERIDAN RD, #26E, CHICAGO, IL 60660-3039
(773) 293-3835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622678
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/04/2007
Last updated
07/08/2007
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