Individual
JASMINE MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2659 N ELSTON AVE, CHICAGO, IL 60647-2018
(773) 352-8710
Mailing address
5218 WILLOW CT, GURNEE, IL 60031-1876
(224) 321-7172
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.029183
IL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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