Individual
DR. JENNIFER VAN SWOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # 6082, CHICAGO, IL 60637-1443
(773) 702-4022
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-4022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.160920
IL
208000000X
Pediatrics Physician
Primary
036.160920
IL
Other
Enumeration date
06/04/2018
Last updated
09/05/2023
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