Individual
JENNA M CELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
395 N LOCUST ST, MANTENO, IL 60950-1222
(815) 468-6870
(815) 468-6864
Mailing address
395 N LOCUST ST, MANTENO, IL 60950-1222
(815) 468-6870
(815) 468-6864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-139232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139232
—
IL
Enumeration date
03/13/2013
Last updated
03/22/2024
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