Jan L. Fitzhugh is a Clinical in Park Ridge, Illinois. Jan L. Fitzhugh practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan L. Fitzhugh is 1255397634. The last update date is 2007-07-08.
Jan L. Fitzhugh's current location address is 2604 Dempster St, Park Ridge, Illinois. You can contact this provider via phone number 8475445102 and fax number 8475445103. The mailing address for Jan L. Fitzhugh is 2604 Dempster St, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan L. Fitzhugh |
|---|---|
| Address | 2604 Dempster St, Park Ridge, Illinois |
| Phone Number | 8475445102 |
| Fax Number | 8475445103 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1255397634 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2604 Dempster St |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600688412 |
| Phone Number | 8475445102 |
| Fax Number | 8475445103 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-00648 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1632426 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jan L. Fitzhugh by the Centers for Medicare & Medicaid Services?
The Jan L. Fitzhugh has been assigned the NPI (National Provider Identifier) 1255397634. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jan L. Fitzhugh's physical address?
The Jan L. Fitzhugh is physically located at 2604 Dempster St, in the city of Park Ridge, IL, with the postal code 600688412.
What is Jan L. Fitzhugh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jan L. Fitzhugh is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When was the Jan L. Fitzhugh's 1255397634 issued?
The Jan L. Fitzhugh's 1255397634 was issued on 2006-04-25.
When was the information related to Jan L. Fitzhugh most recently updated or refreshed?
The details pertaining to the Jan L. Fitzhugh, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.