Individual
MRS. JENNIFER ANN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 EAST ERIE STREET LAVIN 13TH FLOOR, CHICAGO, IL 60611
(312) 695-6800
(312) 695-2772
Mailing address
259 EAST ERIE STREET LAVIN 13TH FLOOR, CHICAGO, IL 60611
(312) 695-6800
(312) 695-2772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005192
IL
363A00000X
Physician Assistant
5601006397
MI
363AS0400X
Surgical Physician Assistant
085005192
IL
Other
Enumeration date
07/11/2012
Last updated
03/23/2020
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