Provider Demographics
NPI:1285818070
Name:JANES, MARGARET J (APRN BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:JANES
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2142
Mailing Address - Country:US
Mailing Address - Phone:847-813-6953
Mailing Address - Fax:847-813-6953
Practice Address - Street 1:6150 JOLIET RD
Practice Address - Street 2:SUITE OHC
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525-3956
Practice Address - Country:US
Practice Address - Phone:708-485-2273
Practice Address - Fax:708-352-0845
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.006917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily