Healthcare Provider Details

I. General information

NPI: 1760266878
Provider Name (Legal Business Name): JAMIE GIVEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 E BELVIDERE RD STE 203
GRAYSLAKE IL
60030-2015
US

IV. Provider business mailing address

1475 E BELVIDERE RD STE 203
GRAYSLAKE IL
60030-2015
US

V. Phone/Fax

Practice location:
  • Phone: 847-535-8000
  • Fax:
Mailing address:
  • Phone: 847-535-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209027566
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: