Individual
TODD J JANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MD
Contact information
Practice address
1600 S LAKE PARK AVE STE 1103, HOBART, IN 46342-6641
(219) 947-6960
(219) 947-6961
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01053537A
IN
2084N0400X
Neurology Physician
28416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811063100
—
IA
05
—
2079723
—
IA
05
—
300074870
—
IN
01
—
P00424511
RR MEDICARE
IA
Enumeration date
11/28/2006
Last updated
05/15/2023
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