Babiarz, Jennifer Eidam

Babiarz, Jennifer Eidam is an individual health care provider with primary practice located at 900 W Nelson St , Chicago IL 60657-6704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Babiarz, Jennifer Eidam can be contacted via phone (773) 296-7089.

Contact Information

Primary practice address
900 W Nelson St Chicago IL 60657-6704
Phone: (773) 296-7089
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1000539 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.003193 Illinois

Profile Details

NPI number 1457456105
LBN Legal business name Babiarz, Jennifer Eidam
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 27th, 2021 - about 4 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 1457456105 NPPES
Other 191433 MEDCOST
Other 7980836 MEDCOST

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