Individual
JENA C NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5775 E STATE ROUTE 113, COAL CITY, IL 60416-7111
(815) 634-0100
(815) 634-2900
Mailing address
5775 E STATE ROUTE 113, COAL CITY, IL 60416-7111
(815) 634-0100
(815) 634-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017696
IL
Other
Enumeration date
05/24/2018
Last updated
05/19/2022
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