Individual
JENNIFER SOSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1611 W HARRISON ST, CHICAGO, IL 60612-4861
(312) 942-5000
Mailing address
266 HAWTHORNE BLVD, GLEN ELLYN, IL 60137-4038
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209011729
IL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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