JENA C NOWICKI

COAL CITY, IL
NPI1558852699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017696)
Enumeration Date2018-05-24
Last Update Date2022-05-19
Business Address
JENA C NOWICKI NP-C
5775 E STATE ROUTE 113
COAL CITY, IL 60416-7111
Phone number: 815-634-0100
Mailing Address
JENA C NOWICKI NP-C
5775 E STATE ROUTE 113
COAL CITY, IL 60416-7111
Phone number: 815-634-0100