Genre, Jenna

Genre, Jenna is an individual health care provider with primary practice located at 3750 W Ogden Ave , Chicago IL 60623-2426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Genre, Jenna can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3750 W Ogden Ave Chicago IL 60623-2426
Phone: (872) 588-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209023755 Illinois

Profile Details

NPI number 1487329439
LBN Legal business name Genre, Jenna
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Mar 7th, 2023 - about 2 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 1487329439 NPPES
Illinois Other 209023755 STATE LICENSE
Illinois Other 309017555 STATE LICENSE

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