Individual
JEREMY MESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1170 E BELVIDERE RD STE 106, GRAYSLAKE, IL 60030-2076
(847) 548-7337
Mailing address
368 GLENWOOD DR APT 103, BLOOMINGDALE, IL 60108-3262
(801) 768-8202
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209008692
IL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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