Individual
JESSICA ITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1801 W TAYLOR ST, SUITE 3, CHICAGO, IL 60612-4795
(312) 996-8337
Mailing address
840 S WOOD ST, SUITE 1347 MC 856, CHICAGO, IL 60612-4325
(312) 996-6145
(312) 413-9484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012414
IL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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