MRS. TAMYRA MICHELLE JANICKI NP
NPI 1003361619
Nurse Practitioner - Family in Downers Grove, IL

Q: What is Tamyra Janicki's NPI number?

The NPI number for Tamyra Janicki is 1003361619. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Q: What is Tamyra Janicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tamyra Janicki was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2016

1315 BUTTERFIELD RD STE 206, DOWNERS GROVE, IL 60515(630) 317-7690(630) 317-7894 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Aug 24, 2016 (2 updates tracked since 2016).

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About Mrs. Tamyra Michelle Janicki Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMYRA MICHELLE JANICKI NP (NPI 1003361619) is an individual family provider in Downers Grove, Illinois, licensed in Illinois (277000587) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1003361619

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TAMYRA MICHELLE JANICKICredential: NP

Location Address1315 BUTTERFIELD RD STE 206Downers Grove, IL 60515-5602

Mailing Address1315 Butterfield Rd Ste 206Downers Grove, IL 60515-5602 · (630) 317-7690 · Fax (630) 317-7894

Phone(630) 317-7690

Fax(630) 317-7894

Sole ProprietorNo

Enumeration DateAugust 24, 2016

Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1003361619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IL · 277000587✔ Licensed in IL · 209014617

1315 BUTTERFIELD RD STE 206, Downers Grove, IL 60515

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORRINNE MICHELE ANDRESEN MSN, FNP-C

Nurse Practitioner

1315 BUTTERFIELD RD STE 206
DOWNERS GROVE, IL 60515

Dupage County (630) 317-7690

AGELESS MEN'S HEALTH HOLDINGS, LLC

Specialist

1315 BUTTERFIELD RD STE 206
DOWNERS GROVE, IL 60515

Dupage County (901) 757-3643

LAUREN DOMSKI NP

Nurse Practitioner (Adult Health)

1315 BUTTERFIELD RD STE 206
DOWNERS GROVE, IL 60515

Dupage County (630) 317-7690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamyra Janicki's NPI number?

The NPI number for Tamyra Janicki is 1003361619. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Tamyra Janicki located?

Tamyra Janicki practices at 1315 Butterfield Rd Ste 206, Downers Grove, IL 60515. The listed phone number is (630) 317-7690.

What is Tamyra Janicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tamyra Janicki was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.