Ciccone, Jennifer
Ciccone, Jennifer is an individual health care provider with primary practice located at 1100 Pembridge Dr , Lake Forest IL 60045-4228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ciccone, Jennifer can be contacted via phone (847) 604-6700.Contact Information
Primary practice address
1100 Pembridge Dr
Lake Forest IL 60045-4228
Phone: (847) 604-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209-004761 | Illinois |
Profile Details
| NPI number | 1205890878 |
|---|---|
| LBN Legal business name | Ciccone, Jennifer |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 20th, 2008 - about 16 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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