1497731897 NPI number — DR. LYNNE K JANSKY CNS APN

Table of content: DR. LYNNE K JANSKY CNS APN (NPI 1497731897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497731897 NPI number — DR. LYNNE K JANSKY CNS APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JANSKY
Provider First Name:
LYNNE
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
CNS APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
POSHEPNY
Provider Other First Name:
LYNNE
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN MSN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497731897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 148147
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60614-8147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-330-3323
Provider Business Mailing Address Fax Number:
312-819-0170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
151 N MICHIGAN AVE
Provider Second Line Business Practice Location Address:
STE 656
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60601-7506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-330-3323
Provider Business Practice Location Address Fax Number:
312-729-5082
Provider Enumeration Date:
12/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364S00000X , with the licence number:  209003193 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1619761 . This is a "BLUE CROSS SHIELD" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 056797 . This is a "VALUE OPTIONS" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".