Individual
ELIZABETH ANN JANOSTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
4860 N CLARK ST, UNIT 4R, CHICAGO, IL 60640-6037
(312) 208-0032
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209013349
IL
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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