Individual
SHERI NICHOLE JAKUPOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(708) 231-8908
Mailing address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(708) 231-8908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041397892
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209015114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209015114
—
IL
Enumeration date
01/09/2017
Last updated
09/27/2023
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