Individual
MRS. JENNIFER LYNN SPEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11475 N 2ND ST, MACHESNEY PARK, IL 61115-1285
(815) 543-5612
Mailing address
505 DON DR, PECATONICA, IL 61063-9582
(815) 543-5612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.003269
IL
Other
Enumeration date
08/15/2008
Last updated
05/10/2011
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