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1659047058
JENNIFER C LUSSENHOP
CHICAGO, IL
NPI
1659047058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-08-17
Last Update Date
2022-09-26
Business Address
JENNIFER C LUSSENHOP
2822 E 83RD ST
CHICAGO, IL 60617-2105
Phone number: 773-721-7600
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Mailing Address
JENNIFER C LUSSENHOP
2635 S PRINCETON AVE APT 3F
CHICAGO, IL 60616-4763
Phone number: 248-505-9012
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