Mcdonnell, Jennifer Anne

Mcdonnell, Jennifer Anne is an individual health care provider with primary practice located at 1801 W Taylor St Suite 2E, Chicago IL 60612-4795. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mcdonnell, Jennifer Anne can be contacted via phone (312) 996-7416.

Contact Information

Primary practice address
1801 W Taylor St Suite 2E Chicago IL 60612-4795
Phone: (312) 996-7416
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036129241 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036129241 Illinois

Profile Details

NPI number 1689839607
LBN Legal business name Mcdonnell, Jennifer Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Apr 19th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689839607 NPPES
Illinois MEDICAID 036129241

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