Individual
MRS. JENNA LEIGH O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3109 N KARLOV AVE, CHICAGO, IL 60641-5436
(614) 746-7020
Mailing address
3109 N KARLOV AVE, CHICAGO, IL 60641-5436
(614) 746-7020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041480863
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030931
IL
Other
Enumeration date
07/10/2023
Last updated
11/14/2024
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