Individual
DR. JANIS ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-2284
(847) 316-2943
Mailing address
100 TRISTATE INTERNATIONAL STE 300, LINCOLNSHIRE, IL 60069-4419
(847) 205-4700
(847) 205-4477
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036076150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618679
BLUE SHIELD
IL
Enumeration date
01/24/2007
Last updated
08/28/2019
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