Healthcare Provider Details

I. General information

NPI: 1801091624
Provider Name (Legal Business Name): TAMMY S JANCZAK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W GOLF RD STE 23
ARLINGTON HEIGHTS IL
60005-3923
US

IV. Provider business mailing address

6N365 WHITMORE CIR UNIT E
ST CHARLES IL
60174-5651
US

V. Phone/Fax

Practice location:
  • Phone: 847-281-5916
  • Fax:
Mailing address:
  • Phone: 815-258-8351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: