JENNAFER BIRNE OTTENHEIMER

LAKE FOREST, IL
NPI1356753016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005056)
Enumeration Date2014-05-28
Last Update Date2021-06-30
Business Address
JENNAFER BIRNE OTTENHEIMER PA-C
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
Mailing Address
JENNAFER BIRNE OTTENHEIMER PA-C
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
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