Individual
IZAYADETH AGUAYO JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 WARRENVILLE RD STE 210, LISLE, IL 60532-3646
(872) 215-0361
Mailing address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58377
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036176313
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
46392
OK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
W0424
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2016
Last updated
10/15/2025
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