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Individual

JAKE ROSENFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3435 ANTOINE PL, ST CHARLES, IL 60175-1099
(630) 945-8856
Mailing address
3435 ANTOINE PL, SAINT CHARLES, IL 60175-1099
(630) 945-8856

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/21/2019
Last updated
02/21/2019
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