Individual
JENNIFER KANNOOKADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 N YATES LN, MOUNT PROSPECT, IL 60056-2741
(847) 977-6198
Mailing address
243 N YATES LN, MOUNT PROSPECT, IL 60056-2741
(847) 977-6198
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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