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 |