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Individual

BEVERLY A JAKIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
4305 W MEDICAL CENTER DR STE 1, MCHENRY, IL 60050-8425
(815) 759-8100
(815) 759-8106
Mailing address
4305 W MEDICAL CENTER DR STE 1, MCHENRY, IL 60050-8425
(815) 759-8100
(815) 759-8106

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031210
IL
363LG0600X
Gerontology Nurse Practitioner
209.031210
IL

Other

Enumeration date
01/13/2025
Last updated
02/04/2026
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