Individual
JENNIFER LUZENTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-FNP
Contact information
Practice address
1616 GRAND AVE STE A, WAUKEGAN, IL 60085-3676
(847) 249-1733
(847) 782-4515
Mailing address
6308 8TH AVE, KENOSHA, WI 53143-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209013996
IL
363L00000X
Nurse Practitioner
Primary
16552
WI
363L00000X
Nurse Practitioner
209013996
IL
Other
Enumeration date
04/22/2016
Last updated
05/08/2026
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