MEDICARE: DR. LAURA A. JANSONS PSY.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
1	103T00000X	Psychologist	071006094	IL

General Provider Information

NPI Number	:	1740229343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA A. JANSONS PSY.D.

Provider Business Mailing Address
First Line	:	355 W DUNDEE RD STE 210
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-3500
Country	:	US
Telephone Number	:	224-636-6333
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 W DUNDEE RD STE 210
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-3500
Country	:	US
Telephone Number	:	224-636-6333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	10/30/2025

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