Active NPI
Richard G Janicki, CRNA
- Certified Registered Nurse Anesthetist
- Oak Lawn, IL
National Provider Identifier
1942472410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007374
- Practice address
- 10500 S Cicero Ave
Oak Lawn, IL 60453-5205 - Phone
- (708) 424-1202
- NPI assigned
- Mar 25, 2008
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-302333 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209007374 | IL | Primary |
Addresses
Primary practice location
10500 S Cicero Ave
Oak Lawn, IL 60453-5205
Mailing address
18221 Torrence Ave
Lansing, IL 60438-2870
Phone (708) 895-9450
Other practice location 1
18221 Torrence Ave
Lansing, IL 60438-2870
Phone (708) 895-9450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-302333 | IL | MD | Registered Nurse |
| 209007374 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Illinois, LLC | Past | Accepting new patients | |
| Interventional Pain Management, LTD. | Past | Accepting new patients | |
| Anesthesia Associates, LTD | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Oak Lawn, IL
- NPI 1841704525
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Pain Medicine (Anesthesiology) Physician
- Lansing, IL
- NPI 1891726345
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1942472410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18221 TORRENCE AVE",
"city": "LANSING",
"state": "IL",
"postal_code": "604382870",
"telephone_number": "708-895-9450",
"fax_number": "708-895-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535205",
"telephone_number": "708-424-1202"
}
],
"practiceLocations": [
{
"address_1": "18221 Torrence Ave",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "IL",
"postal_code": "604382870",
"country_code": "US",
"telephone_number": "708-895-9450",
"fax_number": "708-895-9455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANICKI",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-302333",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
- James C Liang MD SC (Retina Macula Care)
- James D.Schlenker MDSC (Plastic Surgery and Hand Specialists)
- Stephen Jamieson, M.D.
- William Adam Janes, M.D.
- Janicki Anesthesia Services PC
- Molly Franklin Janik, WHNP-BC
- Madinah Janssen, MD
- Margaret Anne Janssen, PA-C
- Hadeel F Jaradat
- Oscar Jaramillo-Salgado, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.