Healthcare Provider Details

I. General information

NPI: 1477472744
Provider Name (Legal Business Name): DENNIS PLANAJ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2334 W LAWRENCE AVE STE 200200A
CHICAGO IL
60625-1948
US

IV. Provider business mailing address

7450 N GREENVIEW AVE APT 36
CHICAGO IL
60626-1752
US

V. Phone/Fax

Practice location:
  • Phone: 312-547-1929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: