DR. WALTER G JANIS (NPI# 1780779728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780779728 |
| Entity Type | Individual |
| Full Name | DR. WALTER G JANIS |
| Credential | DDS |
| Practice Address |
45 S Park Blvd 160 Glen Ellyn IL 60137 |
| Practice Telephone | 6308580089 |
| Mailing Telephone | 6308580089 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19-A14078 | IL | Dental Providers |
| Street Address |
45 S PARK BLVD 160 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437138047 | Bruce Sonnenberg Wardell | Dentist | 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280 | 2006-01-12 |
| 1659993681 | Erika Berg | Counselor | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2020-05-13 |
| 1164908547 | Serendipity Counseling Services, Inc | Clinic/Center | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2018-07-18 |
| 1063954477 | Glen Ellyn Orthodontics, PC | Clinic/Center | 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280 | 2016-11-16 |
| 1194178111 | Park Blvd Dentistry | Dentist | 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137-6280 | 2016-07-14 |
| 1952767733 | Life Care Wellness, Inc. | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2016-01-08 |
| 1831528389 | Meredith Lynne Mehner | Social Worker | 45 S Park Blvd, Suite 255, Glen Ellyn, IL 60137-6280 | 2013-11-05 |
| 1477982361 | Heather Nickrand | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2013-11-01 |
| 1659713543 | Lifecare Counseling & Wellness, LLC | Counselor | 45 S Park Blvd, Ste 200, Glen Ellyn, IL 60137-6280 | 2013-07-22 |
| 1518207455 | Sam Faber Reif | Counselor | 45 S Park Blvd, Suite 130, Glen Ellyn, IL 60137-6280 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861054835 | Matthew L Sweeney | Dentist | 577 Phillips Ave, Glen Ellyn, IL 60137-5005 | 2019-07-01 |
| 1306217252 | Illinois Dental Providers (glen Ellyn), Ltd | Dentist | 701 Roosevelt Rd, Glen Ellyn, IL 60137-5805 | 2015-10-16 |
| 1720319072 | Baker Hill Dental PC | Dentist | 904 Roosevelt Rd, Glen Ellyn, IL 60137-7829 | 2010-01-27 |
| 1982875340 | John T. Zaffer | Dentist | 526 Crescent Blvd, Suite 224, Glen Ellyn, IL 60137-4176 | 2008-03-13 |
| 1396959102 | Daniel J. Deleon | Dentist | 542 Duane St, Glen Ellyn, IL 60137-4676 | 2007-05-10 |
| 1790807246 | A Beautiful Smile Ltd. | Dentist | 498 Hillside Ave, Suite 2w, Glen Ellyn, IL 60137-4546 | 2007-04-04 |
| 1427179258 | Thomas R Gibbs Dds PC | Dentist | 26 N Park Blvd, Glen Ellyn, IL 60137-5712 | 2007-04-02 |
| 1821155920 | John William Clancy | Dentist | 22 N Park Blvd, Glen Ellyn, IL 60137-5770 | 2007-01-02 |
| 1730247099 | William J Dvorak Dds Ltd | Dentist | 430 N Main Street, Glen Ellyn, IL 60137 | 2006-12-05 |
| 1962570291 | Donald G Kipper | Dentist | 408 Pennsylvania Ave, Glen Ellyn, IL 60137-4402 | 2006-12-04 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.