person
Jennifer Racine
Family Nurse Practitioner in Chicago, Illinois
NPI 1922421643

Jennifer Racine is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Jennifer Racine practices in Chicago, IL. The NPI Number for Jennifer Racine is 1922421643 and holds a License No. 2090111171 (Illinois).

The current practice location address for Jennifer Racine is 3718 N Ashland Ave, Chicago, IL and can be reached out via phone at 773-327-9900 and via fax at 773-327-0589.

Location: 3718 N Ashland Ave, Chicago, IL, 60614-6001
person
Provider Profile Details
NPI Number
1922421643
Provider Name
Jennifer Racine
Credential
Provider Entity Type
Individual
Gender
Female
Address
3718 N Ashland Ave, Chicago, IL, 60614-6001
Phone Number
773-327-9900
Fax Number
773-327-0589
Provider Enumeration Date
01/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209011171 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
3718 N Ashland Ave
City
State
Zip
60613-4793
Phone Number
773-327-9900
Fax Number
773-327-0589
person
Provider Business Mailing Address Details
Address
3718 N Ashland Ave
City
State
Zip
60613-4793
Phone Number
773-327-9900
Fax Number
773-327-0589
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2090111171 (Illinois)
Definition
Definition to come...
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