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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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