Dougherty, Jeanne
Dougherty, Jeanne is an individual health care provider with primary practice located at 9800 Southwest Hwy , Oak Lawn IL 60453-3617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dougherty, Jeanne can be contacted via phone (708) 229-6985.Contact Information
Primary practice address
9800 Southwest Hwy
Oak Lawn IL 60453-3617
Phone: (708) 229-6985
Fax: (708) 229-6931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209003268 | Illinois |
Profile Details
| NPI number | 1598872368 |
|---|---|
| LBN Legal business name | Dougherty, Jeanne |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Oct 24th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598872368 | NPPES |
| Illinois | Other | 209003268 | LICENSE |
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