Individual
JANE VAYSBERG
Active
Individual
JANE VAYSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209021341
IL
363LF0000X
Family Nurse Practitioner
Primary
209.021341
IL
Other
Enumeration date
06/02/2020
Last updated
06/09/2021
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