Individual
JENNIFER RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(219) 771-1884
Mailing address
8163 W 1000 N, DEMOTTE, IN 46310-7041
(219) 771-1884
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
04134922
IL
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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