| Doctor Name: | HEATHER JANDURA |
| NPI Number: | 1801213343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 149.014675 |
| Business Practice Address: | 329 E Le Moyne Ave Northlake, IL - 601642608 |
| Business Phone Number: | 7732184512 |
| Business Fax Number: | |
| Mailing Address: | 329 E Le Moyne Ave, NORTHLAKE |
| State: | IL |
| Postal Code: | 601642608 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2014 |
| NPI Last Update Date: | 03/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.014675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |