Provider Demographics
NPI:1891721072
Name:LITVENE, JANICE HARRIET (AM)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:HARRIET
Last Name:LITVENE
Suffix:
Gender:F
Credentials:AM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 PEARCES FRD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7316
Mailing Address - Country:US
Mailing Address - Phone:773-383-9795
Mailing Address - Fax:630-551-0988
Practice Address - Street 1:412 N LAKE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4106
Practice Address - Country:US
Practice Address - Phone:773-383-9795
Practice Address - Fax:630-551-0988
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0024691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical