Individual
MRS. JENICA SIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APP
Contact information
Practice address
710 S PAULINA ST STE JRB 600, CHICAGO, IL 60612-3808
(312) 942-5000
Mailing address
710 SOUTH PAULINA STREET, SUITE JRB 600, CHICAGO, IL 60612-3808
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022173
IL
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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