Individual
DR. JENNIFER LYNN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, SUITE #3D, CHICAGO, IL 60612-4795
(312) 355-1700
Mailing address
2250 W CAMPBELL PARK DR, CHICAGO, IL 60612-3502
(312) 243-0600
(312) 243-3297
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-113891
IL
Other
Enumeration date
07/18/2008
Last updated
08/02/2010
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