Individual
JENNIFER BOLOGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1357 W 103RD ST, CHICAGO, IL 60643-2392
(773) 238-0800
Mailing address
3740 N HALSTED ST APT 302, CHICAGO, IL 60613-5656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017345
IL
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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