Jeffrey Janecek

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.318889 Issued in IL

Practice address

7519 Hanover Dr
Tinley Park, IL 60477-4728

Phone

(708) 927-0347

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1275232381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 HANOVER DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774728",
            "telephone_number": "708-927-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 HANOVER DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774728",
            "telephone_number": "708-927-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECEK",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.318889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh K Jain, M.D.
• Bodunrin Jaiyeola, PHARMD
• Carissa Anne Jalbuena, PT
• James C. Walter, O.D., P.C.
• Erica James, LSW
• Sarah Ann Janowski, D.M.D.
• Rebecca Jansma, RBT
• Jaroti Wellness PLLC
• Jason Mehess DC PC
• Jason R. Crescenzo, DDS, P.C. (Aesthetic Family Dental of Tinley Park)

• Registered Nurse in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.