Individual
JENNA C PODJASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6320 159TH ST, SUITE A, OAK FOREST, IL 60452-2776
(708) 687-3855
(708) 444-2324
Mailing address
6320 159TH ST, SUITE A, OAK FOREST, IL 60452-2776
(708) 687-3855
(708) 444-2324
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-133212
IL
207K00000X
Allergy & Immunology Physician
52031
MN
207R00000X
Internal Medicine Physician
52031
MN
Other
Enumeration date
08/04/2008
Last updated
11/13/2013
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