JENNA MICHELE MARK

CHICAGO, IL
NPI1821609462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209020806)
Enumeration Date2020-08-16
Last Update Date2020-08-16
Business Address
JENNA MICHELE MARK
5841 S MARYLAND AVE # MC3051
CHICAGO, IL 60637-1443
Phone number: 773-219-2011
Mailing Address
JENNA MICHELE MARK
1472 W SUMMERDALE AVE APT 2RE
CHICAGO, IL 60640-2159
Phone number: