Organization
CYNTHIA E. JAFFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JAFFE (OWNER)
(847) 830-8748
Entity
Organization
Contact information
Practice address
3100 DUNDEE RD STE 506, NORTHBROOK, IL 60062-2449
(847) 830-8748
Mailing address
1215 DARYL LN, NORTHBROOK, IL 60062-4610
(847) 830-8748
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
038008595
IL
363LF0000X
Family Nurse Practitioner
Primary
209009692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699854778
NPI
IL
Enumeration date
09/27/2007
Last updated
01/31/2013
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