Individual
ERIC JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1880 W WINCHESTER RD, SUITE 101, LIBERTYVILLE, IL 60048-5341
(773) 558-9189
Mailing address
1880 W WINCHESTER RD, SUITE 101, LIBERTYVILLE, IL 60048-5341
(773) 558-9189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.014425
IL
Other
Enumeration date
07/18/2016
Last updated
12/06/2016
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