Individual
DR. JANELL R. HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5500 CARPENTER ST, DOWNERS GROVE, IL 60516-1357
(630) 241-2244
(630) 241-2244
Mailing address
5500 CARPENTER ST, DOWNERS GROVE, IL 60516-1357
(630) 241-2244
(630) 241-2244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044540417; 00322415
BC/BS PROVIDER NUMBER
IL
Enumeration date
08/17/2006
Last updated
07/08/2007
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