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NPI Code Detail

MEDICARE: MRS. JEANNE MARIE ONDYAK CNP

MEDICARE:  MRS. JEANNE MARIE ONDYAK  CNP
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
1363LF0000XFamily Nurse PractitionerIL

General Provider Information

NPI Number : 1346202165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNE MARIE ONDYAK CNP
Provider Business Mailing Address
First Line : 120 SPALDING DR
Second Line : SUITE 401
City : NAPERVILLE
State : IL
Zip : 60540-6508
Country : US
Telephone Number : 630-416-4501
Fax Number : 630-416-4504
Provider Business Practice Location Address
First Line : 120 SPALDING DR
Second Line : SUITE 401
City : NAPERVILLE
State : IL
Zip : 60540-6508
Country : US
Telephone Number : 630-416-4501
Fax Number : 630-416-4504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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