Individual
MRS. JACQUELINE J CELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6438 JOLIET RD, COUNTRYSIDE, IL 60525-4685
(708) 352-5222
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400542659
MEDICARE
IL
Enumeration date
08/16/2012
Last updated
04/28/2025
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