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Individual

JENNIFER JOAN PETERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, AGNP

Contact information

Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637-1426
(312) 933-1159
Mailing address
5841 S MARYLAND AVE # MC5067, CHICAGO, IL 60637-1443
(773) 702-1611
(773) 834-7071

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
041.334334
IL
363L00000X
Nurse Practitioner
Primary
209.019384
IL

Other

Enumeration date
02/10/2020
Last updated
01/23/2024
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