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Individual

MRS. ROXANNE JENNIFER SIEMECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNS-BC, FNP-BC

Contact information

Practice address
4440 W 95TH ST, 6TH FLOOR OUTPATIENT PAVILION, OAK LAWN, IL 60453-2600
(708) 684-9132
(708) 520-1871
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209013887
IL
364S00000X
Clinical Nurse Specialist
Primary
209-007019
IL
364SA2200X
Adult Health Clinical Nurse Specialist
209007019
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209013887
FAMILY NURSE PRACTITIONER
IL
Enumeration date
03/21/2008
Last updated
07/25/2022
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