MRS. TAMYRA MICHELLE JANICKI NP NPI 1003361619

NPI Information

NPI: 1003361619
Provider Name: MRS. TAMYRA MICHELLE JANICKI, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1315 BUTTERFIELD RD STE 206
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 317-7690
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MRS. Tamyra Michelle Janicki, NP is a family nurse practitioner in Downers Grove, IL. MRS. Tamyra Michelle Janicki, NP NPI is 1003361619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1315 BUTTERFIELD RD STE 206
DOWNERS GROVE, IL
ZIP 60515-602
Phone: (630) 317-7690
Fax: (630) 317-7894

The enumeration date for this NPI number is 8/24/2016 and was last updated on 1/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209014617	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	277000587	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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