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NPI Code Detail

MEDICARE: ANNA JANKE

MEDICARE: ANNA JANKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194657064
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JANKE
Provider Business Mailing Address
First Line : 4228 N KENMORE AVE APT 202
Second Line :
City : CHICAGO
State : IL
Zip : 60613-1376
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 929 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4408
Country : US
Telephone Number : 312-530-0323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ANNA JANKE ” Practice Location

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