Individual
SCOTT JOSEPH JANUZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Mailing address
2538 MOMENTUM PL, CHICAGO, IL 60689-0001
(616) 975-1845
(616) 975-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036070816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070816
—
IL
01
—
P00460620
RAILROAD MEDICARE
IL
Enumeration date
06/20/2006
Last updated
04/05/2013
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