Healthcare Provider Details

I. General information

NPI: 1871453761
Provider Name (Legal Business Name): MICHELENE JANESKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL RD DEPARTMENT OF HOSPITAL MEDICINE
ARLINGTON HEIGHTS IL
60005-2349
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 877-635-9229
  • Fax: 847-618-3259
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-570-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209032595
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: