Janis, Walter G

Janis, Walter G is an individual health care provider with primary practice located at 45 S Park Blvd 160, Glen Ellyn IL 60137. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Janis, Walter G can be contacted via phone (630) 858-0089.

Contact Information

Primary practice address
45 S Park Blvd 160 Glen Ellyn IL 60137
Phone: (630) 858-0089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19-A14078 Illinois

Profile Details

NPI number 1780779728
LBN Legal business name Janis, Walter G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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