Provider Demographics
NPI:1588971766
Name:MECHUROVA, JANA
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:
Last Name:MECHUROVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2522
Mailing Address - Country:US
Mailing Address - Phone:847-986-6770
Mailing Address - Fax:224-505-5960
Practice Address - Street 1:1625 SHERIDAN RD STE A
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1800
Practice Address - Country:US
Practice Address - Phone:847-986-6770
Practice Address - Fax:224-505-5960
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036132548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine