Individual
MS. JENNIFER MARSIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1645 W JACKSON BLVD STE 215, CHICAGO, IL 60612-3227
(312) 942-3254
Mailing address
1645 W JACKSON BLVD STE 215, CHICAGO, IL 60612-3227
(312) 942-3254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077691
IL
208000000X
Pediatrics Physician
125.077691
IL
363LF0000X
Family Nurse Practitioner
AP30007951
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/05/2007
Last updated
05/24/2021
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