Individual
JENNIFER TRSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 DEVON AVE, PARK RIDGE, IL 60068-4760
(800) 323-8622
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14824
WI
363LF0000X
Family Nurse Practitioner
Primary
209011421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100265754
—
WI
Enumeration date
04/02/2014
Last updated
03/12/2024
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