Individual
JENNIFER JANE RABCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5550 W 111TH ST, OAK LAWN, IL 60453-5012
(708) 974-7377
Mailing address
306 MARENGO AVE, FOREST PARK, IL 60130-1604
(309) 333-4210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.423394
IL
363LF0000X
Family Nurse Practitioner
Primary
209030569
IL
Other
Enumeration date
08/09/2024
Last updated
10/08/2024
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