Individual
JENNIFER A LAHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(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
Primary
209-032705
IL
363LF0000X
Family Nurse Practitioner
209032705
IL
Other
Enumeration date
07/29/2025
Last updated
12/16/2025
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