Individual
JENNA JULIANNA VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E 51ST ST STE 1, CHICAGO, IL 60615-2494
(312) 572-2000
Mailing address
39 THORNHILL CT, BURR RIDGE, IL 60527-6446
(630) 390-9303
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.009258
IL
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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