MEDICARE: MS. JENNIFER L. VINCE M.ED., CSA, CDP, DCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1154117919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER L. VINCE M.ED., CSA, CDP, DCS

Provider Business Mailing Address
First Line	:	611 S WASHINGTON ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-4339
Country	:	US
Telephone Number	:	630-792-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 S WASHINGTON ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-4339
Country	:	US
Telephone Number	:	630-792-2515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	06/10/2026

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