Individual
JENISE FARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPA-NP
Contact information
Practice address
12118 S 86TH AVE, PALOS PARK, IL 60464-1224
(708) 323-6271
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013687
IL
Other
Enumeration date
01/04/2016
Last updated
03/27/2025
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