Provider Demographics
NPI:1538337589
Name:SAJDECKI, JANTI
Entity type:Individual
Prefix:MRS
First Name:JANTI
Middle Name:
Last Name:SAJDECKI
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 1:545 HAMPSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1313
Mailing Address - Country:US
Mailing Address - Phone:630-739-2079
Mailing Address - Fax:
Practice Address - Street 1:230 CREST RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5447
Practice Address - Country:US
Practice Address - Phone:630-858-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter