Healthcare Provider Details

I. General information

NPI: 1528144797
Provider Name (Legal Business Name): NEW FOCUS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N MICHIGAN AVE STE 1014
CHICAGO IL
60601-7538
US

IV. Provider business mailing address

PO BOX 148147
CHICAGO IL
60614-8147
US

V. Phone/Fax

Practice location:
  • Phone: 312-330-3323
  • Fax: 312-819-0170
Mailing address:
  • Phone: 312-330-3323
  • Fax: 312-819-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036076701
License Number StateIL

VIII. Authorized Official

Name: DR. LYNNE K JANJKY
Title or Position: OWNER
Credential: CLINICAL NURSE SPECI
Phone: 312-330-3323