Individual
JEREMY SOEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-FPA
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-2881
(773) 282-7000
Mailing address
5645 W ADDISON ST, CHICAGO, IL 60634-2881
(773) 282-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277.004831
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
277.004831
IL
Other
Enumeration date
02/13/2019
Last updated
01/07/2026
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