Healthcare Provider Details

I. General information

NPI: 1497731897
Provider Name (Legal Business Name): LYNNE K JANSKY CNS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNNE K POSHEPNY RN MSN

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N MICHIGAN AVE STE 656
CHICAGO IL
60601-7506
US

IV. Provider business mailing address

PO BOX 148147
CHICAGO IL
60614-8147
US

V. Phone/Fax

Practice location:
  • Phone: 312-330-3323
  • Fax: 312-729-5082
Mailing address:
  • Phone: 312-330-3323
  • Fax: 312-819-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209003193
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: