MEDICARE: DR. JANE ANNE BRAUN 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
1	103G00000X	Clinical Neuropsychologist	071007169	IL
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	071007169	IL
3	101YP1600X	Pastoral Counselor	071007169	IL
4	103TC1900X	Counseling Psychologist	071007169	IL
5	103TC0700X	Clinical Psychologist	071007169	IL

General Provider Information

NPI Number	:	1962671156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE ANNE BRAUN PH.D.

Provider Business Mailing Address
First Line	:	8417 CRESTWOOD AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2011
Country	:	US
Telephone Number	:	708-372-7286
Fax Number	:

Provider Business Practice Location Address
First Line	:	20635 ABBEY WOODS CT N STE 303
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3191
Country	:	US
Telephone Number	:	708-372-7286
Fax Number	:	219-301-7159

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

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	02/10/2026

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