Provider Demographics
NPI:1003101650
Name:JANISZEWSKI, SARA ANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANNE
Last Name:JANISZEWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 N HARRISON ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-2461
Mailing Address - Country:US
Mailing Address - Phone:630-945-5024
Mailing Address - Fax:
Practice Address - Street 1:518 N HARRISON ST
Practice Address - Street 2:UNIT B
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-2461
Practice Address - Country:US
Practice Address - Phone:630-945-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.390482163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis