Individual
JENNIFER BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R/T (R)
Contact information
Practice address
11914 S ROUTE 59, PLAINFIELD, IL 60585-5110
(815) 733-5952
Mailing address
24642 W STEVE RITTOF DR, CHANNAHON, IL 60410-9757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1075706
IL
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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