Individual
JEROME MITCHELL JANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
309 HAMILTON ST STE B, GENEVA, IL 60134-2182
(630) 402-0144
(630) 402-0144
Mailing address
309 HAMILTON ST, SUITE B, GENEVA, IL 60134
(630) 402-0144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041182037
IL
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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