JEANNINE FAIR

DEKALB, IL
NPI1891126108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  041.255540)
Enumeration Date2013-12-12
Last Update Date2013-12-12
Business Address
-- JEANNINE FAIR NP
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521
Mailing Address
-- JEANNINE FAIR NP
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521