MEDICARE: JENA M CATANIA MA

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

General Provider Information

NPI Number	:	1932719937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENA M CATANIA MA

Provider Business Mailing Address
First Line	:	2053 N MOZART ST APT 2R
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4074
Country	:	US
Telephone Number	:	630-788-9505
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 CHURCH ST STE 619
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-4586
Country	:	US
Telephone Number	:	847-864-0600
Fax Number	:

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

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

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Directions to “ JENA M CATANIA MA” Practice Location

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