Individual
JENISE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BIESTERFIELD RD BLDG 6B, ELK GROVE VILLAGE, IL 60007-3361
(815) 214-0053
Mailing address
PO BOX 424, HERSCHER, IL 60941-0424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016831
IL
Other
Enumeration date
02/14/2021
Last updated
09/08/2021
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