Individual
JOANNA JANINA STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-BC
Contact information
Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209024663
IL
363LG0600X
Gerontology Nurse Practitioner
041396546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209024663
—
IL
01
—
MS7554529
DEA
IL
Enumeration date
06/25/2021
Last updated
09/30/2024
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