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Individual

MRS. JENNIFER MARIE SHOPINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNM, IBCLC

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.010405
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370966854017
IL
01
CF3444
MEDICARE RAILROAD
IL
Enumeration date
11/22/2013
Last updated
06/11/2020
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