Individual
DR. JOSEPH ALOYSIUS JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, BOX #69, CHICAGO, IL 60611-2991
(312) 227-6190
(312) 227-9404
Mailing address
225 E CHICAGO AVE, BOX #69, CHICAGO, IL 60611-2991
(312) 227-6190
(312) 227-9404
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
036.118217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118217
—
IL
01
—
1627123
BCBS PROVIDER ID
IL
Enumeration date
05/04/2007
Last updated
03/19/2014
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