Individual
MRS. JENNIFER A CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
259 E ERIE ST FL 16, CHICAGO, IL 60611-2987
(312) 695-6868
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019997
IL
Other
Enumeration date
09/05/2019
Last updated
11/04/2019
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