Individual
KRISTINA A JANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1038
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-014816
IL
363LF0000X
Family Nurse Practitioner
209014816
IL
Other
Enumeration date
05/17/2021
Last updated
08/13/2024
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