Individual
JEANNE VEGA-BYRNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
Mailing address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041450576
IL
363LF0000X
Family Nurse Practitioner
Primary
209.026031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209026031
—
IL
Enumeration date
06/15/2021
Last updated
10/10/2022
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