Individual
DR. JESSE L. VINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.0549585
IL
2084P0800X
Psychiatry Physician
36-54958
IL
Other
Enumeration date
09/04/2006
Last updated
01/03/2024
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