Individual
JEANINE ELAINE SIENKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1038
(630) 829-1040
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277-000761
IL
363L00000X
Nurse Practitioner
71005498A
IN
363LF0000X
Family Nurse Practitioner
277-000761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71005498A
LICENSE
IN
01
—
P01489127
RAILROAD MEDICARE
IN
Enumeration date
10/20/2006
Last updated
05/05/2023
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