Devaney, Jennifer

Devaney, Jennifer is an individual health care provider with primary practice located at 1170 E Belvidere Rd Ste 106 , Grayslake IL 60030-2076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Devaney, Jennifer can be contacted via phone (847) 548-7337.

Contact Information

Primary practice address
1170 E Belvidere Rd Ste 106 Grayslake IL 60030-2076
Phone: (847) 548-7337
Fax: (847) 548-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036101023 Illinois

Profile Details

NPI number 1528056801
LBN Legal business name Devaney, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 30th, 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 1528056801 NPPES
Illinois MEDICAID 036101023

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