Individual
JESSICA LOREN ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4848 W IRVING PARK RD, CHICAGO, IL 60641-2718
(773) 724-6200
(773) 866-8015
Mailing address
213 N RACINE AVE, SUITE 100, CHICAGO, IL 60607-1644
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012156
IL
Other
Enumeration date
01/27/2015
Last updated
04/20/2016
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