Individual
JENNA SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, F5-704, CHICAGO, IL 60611
(312) 926-9206
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036132329
IL
207L00000X
Anesthesiology Physician
125-057481
IL
207R00000X
Internal Medicine Physician
MT194647
PA
Other
Enumeration date
06/25/2010
Last updated
08/07/2018
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