Most Relevant Information
Provider Data
| NPI Number: | 1003540063 |
| Provider Name: | JENNIFER EISENBERG APRN, CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209025206 |
Most Important Dates
| Enumeration Date: | 07/14/2022 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
675 N SAINT CLAIR ST STE 18-200
CHICAGO
IL
606115929
Practice Location Phone/Fax
| Phone: | 3126958630 |
| Fax: | 3126952857 |
Provider Mailing Location
675 N SAINT CLAIR ST STE 18-200
CHICAGO
IL
606115929
Provider Mailing Phone/Fax
| Phone: | 3126958630 |
| Fax: | 3126952857 |