Provider Demographics
NPI:1851452544
Name:SYNOWIECKI, JANICE L
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:SYNOWIECKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W070 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60527
Mailing Address - Country:US
Mailing Address - Phone:630-734-0017
Mailing Address - Fax:
Practice Address - Street 1:7420 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501
Practice Address - Country:US
Practice Address - Phone:708-458-4515
Practice Address - Fax:708-458-9177
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker