Obrien, Jill C

Obrien, Jill C is an individual health care provider with primary practice located at 102 S Hennepin Ave , Dixon IL 61021-3013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Obrien, Jill C can be contacted via phone (815) 285-8520.

Contact Information

Primary practice address
102 S Hennepin Ave Dixon IL 61021-3013
Phone: (815) 285-8520
Fax: (815) 285-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-004480 Illinois

Profile Details

NPI number 1295908259
LBN Legal business name Obrien, Jill C
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Oct 8th, 2019 - about 7 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 1295908259 NPPES
Illinois Other F400458270 MEDICARE PTAN

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