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Individual

JENNA TASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
17705 HUTCHINS DR STE 250, MINNETONKA, MN 55345-4103
(952) 401-8300
(952) 401-8243
Mailing address
LOYOLA UNIVERSITY MEDICAL CENTER, 2160 S. FIRST AVE, MAYWOOD, IL 60153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036161210
IL
208000000X
Pediatrics Physician
1528520442
IL

Other

Enumeration date
04/01/2019
Last updated
08/23/2023
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