Provider Demographics
NPI:1528144797
Name:NEW FOCUS HEALTH CARE
Entity type:Organization
Organization Name:NEW FOCUS HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:JANJKY
Authorized Official - Suffix:
Authorized Official - Credentials:CLINICAL NURSE SPECI
Authorized Official - Phone:312-330-3323
Mailing Address - Street 1:PO BOX 148147
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-8147
Mailing Address - Country:US
Mailing Address - Phone:312-330-3323
Mailing Address - Fax:312-819-0170
Practice Address - Street 1:151 N MICHIGAN AVE
Practice Address - Street 2:STE 1014
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7538
Practice Address - Country:US
Practice Address - Phone:312-330-3323
Practice Address - Fax:312-819-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360767012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1610761OtherBLUE CROSS SHIELD
IL9406305OtherPHCS