Individual
JENNIFER VIRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR STE 118, CHICAGO, IL 60611-8701
(312) 470-8990
(312) 846-1300
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036106235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106235
—
IL
Enumeration date
03/27/2006
Last updated
07/11/2023
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