Individual
KORYNN JELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3406
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-034335
IL
363L00000X
Nurse Practitioner
209.034335
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041.377513
IL
390200000X
Student in an Organized Health Care Education/Training Program
209.034335
IL
Other
Enumeration date
11/17/2025
Last updated
04/24/2026
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