Individual
JENNA COUTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
390 E CONGRESS PKWY STE J, CRYSTAL LAKE, IL 60014-6207
(815) 322-9300
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041416263
IL
363L00000X
Nurse Practitioner
Primary
209030422
IL
Other
Enumeration date
08/13/2024
Last updated
12/13/2024
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