Individual
MRS. JENNY LYN V LLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11729 PRESLEY CIR, PLAINFIELD, IL 60585
(331) 385-0702
Mailing address
11729 PRESLEY CIR, PLAINFIELD, IL 60585
(331) 385-0702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.372076
IL
163WH0200X
Home Health Registered Nurse
041.372076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.372076
RN LICENSE
IL
Enumeration date
02/06/2025
Last updated
02/06/2025
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