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Individual

DR. ERIC J JANOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Mailing address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077584
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077584
IL
01
1921614
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/29/2005
Last updated
01/27/2021
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