Alan M Janusek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

5508 S Brainard Ave
Countryside, IL 60525-3571

Phone

(708) 579-0350

Fax

(708) 579-3368

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346327889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 S BRAINARD AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253571",
            "telephone_number": "708-579-0350",
            "fax_number": "708-579-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 S BRAINARD AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253571",
            "telephone_number": "708-579-0350",
            "fax_number": "708-579-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSEK",
        "first_name": "ALAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene M Houlihan, LSW
• Brian Hovorka, MS, OTR/L
• Marisa Iannotta
• Jennifer James, MHS, OTR/L
• Margaret J Janes, APRN BC
• Evyan Jawad, MB,CHB
• Michelle P Jennings, DDS
• Giancarlo Jerry
• Edwin D Johnson
• Gina Bernice Johnson, R.N.

• All providers in Countryside, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.