Healthcare Provider Details

I. General information

NPI: 1235603713
Provider Name (Legal Business Name): JENNIFER M ALAMILLO APRN, FNP-C, FPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N LARKIN AVE STE 101
JOLIET IL
60435-3470
US

IV. Provider business mailing address

801 N LARKIN AVE STE 300
JOLIET IL
60435-3441
US

V. Phone/Fax

Practice location:
  • Phone: 815-744-0029
  • Fax: 815-744-3768
Mailing address:
  • Phone: 815-744-0029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277003398
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: