Individual
RICHARD G JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10500 S CICERO AVE, OAK LAWN, IL 60453-5205
(708) 424-1202
Mailing address
18221 TORRENCE AVE, LANSING, IL 60438-2870
(708) 895-9450
(708) 895-9455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-302333
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007374
IL
Other
Enumeration date
03/25/2008
Last updated
03/17/2018
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