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Individual

JENNIFER G DZEMSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 221-6040
(847) 213-2156
Mailing address
5454 FARGO AVE, SKOKIE, IL 60077-3210
(847) 221-6040
(847) 213-2156

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
315608-31
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13844
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UNKNOWN
WI
Enumeration date
07/19/2012
Last updated
12/11/2025
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