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Individual

JESSICA L DENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGNP-BC

Contact information

Practice address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 752-4466
Mailing address
1151 HIGHLAND AVE, OAK PARK, IL 60304-2244

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.024352
IL
363LP2300X
Primary Care Nurse Practitioner
209024352
IL

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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