MEDICARE: JANUSZ A MEJER MD

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
1	207Q00000X	Family Medicine Physician	036117274	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790836807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANUSZ A MEJER MD

Provider Business Mailing Address
First Line	:	15 OLD BARN RD
Second Line	:
City	:	HAWTHORN WOODS
State	:	IL
Zip	:	60047-9149
Country	:	US
Telephone Number	:	773-822-2564
Fax Number	:	312-588-9965

Provider Business Practice Location Address
First Line	:	3335 N ARLINGTON HEIGHTS RD STE G-K
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1573
Country	:	US
Telephone Number	:	224-347-2564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	03/14/2023

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