Atadero, Jennifer

Atadero, Jennifer is an individual health care provider with primary practice located at 2220 Huntington Dr N , Algonquin IL 60102-4419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Atadero, Jennifer can be contacted via phone (847) 854-0050.

Contact Information

Primary practice address
2220 Huntington Dr N Algonquin IL 60102-4419
Phone: (847) 854-0050
Fax: (847) 854-0055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1881692275
LBN Legal business name Atadero, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881692275 NPPES
Illinois MEDICAID 0360997738
Illinois Other 05632094

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