Individual
JENNA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 W RANDOLPH ST, CHICAGO, IL 60607-1657
(312) 620-7870
Mailing address
355 E OHIO ST UNIT 2101, CHICAGO, IL 60611-5596
(806) 420-1138
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.032351
IL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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