Individual
JENNIFER ALYSE LODISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
345 MADISON ST, OAK PARK, IL 60302-4111
(866) 389-2727
Mailing address
345 MADISON ST, OAK PARK, IL 60302-4111
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
878839
TX
363LF0000X
Family Nurse Practitioner
Primary
209.021431
IL
Other
Enumeration date
01/13/2020
Last updated
07/22/2025
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