JACQUELINE ANN FENN

CHAMPAIGN, IL
NPI1235710666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-17
Last Update Date2021-04-17
Business Address
Dr. JACQUELINE ANN FENN MD PhD
1612 CHEVY CHASE DR
CHAMPAIGN, IL 61821-4955
Phone number: 773-892-9187
Mailing Address
Dr. JACQUELINE ANN FENN MD PhD
1612 CHEVY CHASE DR
CHAMPAIGN, IL 61821-4955
Phone number: 773-892-9187