Individual
MS. CONSTANCE JAEGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S., NP
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 469-1367
Mailing address
1766 N 21ST RD, GRAND RIDGE, IL 61325-9662
(815) 257-0007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041154564
IL
Other
Enumeration date
05/17/2006
Last updated
07/09/2020
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