Organization
JANICKI ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G JANICKI CRNA (PRESIDENT)
(708) 935-1921
Entity
Organization
Contact information
Practice address
10500 S CICERO AVE, OAK LAWN, IL 60453-5205
(708) 424-1202
Mailing address
95 N PECK AVE, LA GRANGE, IL 60525-5829
(708) 935-1921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
02/15/2018
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