Individual
DR. JENNIFER ATADERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2220 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 854-0050
(847) 854-0055
Mailing address
2220 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 854-0050
(847) 854-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360997738
—
IL
01
—
05632094
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/11/2005
Last updated
08/27/2024
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