Provider Demographics
NPI:1689811010
Name:STEGEN, JANELLE JEAN (MA)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:JEAN
Last Name:STEGEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 N HADDOW AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2535
Mailing Address - Country:US
Mailing Address - Phone:847-392-8615
Mailing Address - Fax:
Practice Address - Street 1:2615 N HADDOW AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2535
Practice Address - Country:US
Practice Address - Phone:847-392-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000922235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist