Individual
JENNIFER P FLORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPA NP
Contact information
Practice address
5500 COUNTY FARM RD, HANOVER PARK, IL 60133-5104
(800) 323-8622
(224) 225-0370
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1039
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23137
WI
363LF0000X
Family Nurse Practitioner
209012044
IL
363LF0000X
Family Nurse Practitioner
Primary
277-001401
IL
Other
Enumeration date
12/10/2014
Last updated
07/02/2024
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