Provider Demographics
NPI:1700115235
Name:QUINN, JANIS MARIE (RN, MSN, CPNP-AC)
Entity Type:Individual
Prefix:MS
First Name:JANIS
Middle Name:MARIE
Last Name:QUINN
Suffix:
Gender:F
Credentials:RN, MSN, CPNP-AC
Other - Prefix:MRS
Other - First Name:JANIS
Other - Middle Name:MARIE
Other - Last Name:RUSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, CPNP-AC
Mailing Address - Street 1:225 E. CHICAGO AVE
Mailing Address - Street 2:BOX 98
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2605
Mailing Address - Country:US
Mailing Address - Phone:312-227-3700
Mailing Address - Fax:312-227-9603
Practice Address - Street 1:225 E. CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2605
Practice Address - Country:US
Practice Address - Phone:312-227-3700
Practice Address - Fax:312-227-9603
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007901363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care