Individual
JENNIFER NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
345 E WACKER DR, APT 3309, CHICAGO, IL 60601-5229
(610) 310-8869
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.015449041.448093
IL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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