Individual
JEANNE T VAN DENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3825 HIGHLAND AVE, TOWER 2 SUITE 400, DOWNERS GROVE, IL 60515-1552
(630) 719-4799
Mailing address
1919 S HIGHLAND AVE, SUITE A230 ATTN RAYLENE BOYD, LOMBARD, IL 60148-6153
(630) 873-7305
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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