Individual
DR. ALAN M JANUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5508 S BRAINARD AVE, COUNTRYSIDE, IL 60525-3571
(708) 579-0350
(708) 579-3368
Mailing address
5508 S BRAINARD AVE, COUNTRYSIDE, IL 60525-3571
(708) 579-0350
(708) 579-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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