DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JANA WINGO PH.D.

MEDICARE:   JANA  WINGO  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist071009044IL
2103G00000XClinical Neuropsychologist071009044IL

General Provider Information

NPI Number : 1952784589
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA WINGO PH.D.
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 1310
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2923
Country : US
Telephone Number : 312-695-9627
Fax Number : 312-695-6072
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1310
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2923
Country : US
Telephone Number : 312-695-9627
Fax Number : 312-695-6072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 10/18/2023

Similar Medicare Providers

1376404095 — KAITLYN N ALLEN PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax: 312-695-6072
1982149605 — MS. LAUREN RENEE DOWDEN MSW, LCSW
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax: 312-695-6072
1497368922 — DEBORAH N DYSLIN KMAN
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax: 312-695-6072
1487231908 — SARAH J DORAN MD PHD
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax: 312-695-6072
1578289310 — BRIANNA L LEE PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax: 312-695-6072
1497433692 — DR. MOLLY ANN MATHER PHD
Practice Location Address:
676 N SAINT CLAIR ST STE 1310
CHICAGO, IL
60611-2923
Practice Phone: 312-695-9627
Practice Fax:

Directions to “ JANA WINGO PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.