Defazio, Jennifer Rose

Defazio, Jennifer Rose is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Defazio, Jennifer Rose can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Phone: (773) 702-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 288868-1 New York

Profile Details

NPI number 1235441429
LBN Legal business name Defazio, Jennifer Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2010
Last updated Jan 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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