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1346793742
JENNIFER STASKOWICZ
CHICAGO, IL
NPI
1346793742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.014566)
Enumeration Date
2016-08-02
Last Update Date
2018-03-17
Business Address
JENNIFER STASKOWICZ N.P.-C
635 N FAIRBANKS CT
CHICAGO, IL 60611-5435
Phone number: 312-694-2273
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Mailing Address
JENNIFER STASKOWICZ N.P.-C
23W149 BLACKCHERRY LN
GLEN ELLYN, IL 60137-7244
Phone number: 630-474-6081
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