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: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N HAMMES AVE STE 201L
JOLIET IL
60435-8118
US

IV. Provider business mailing address

310 N HAMMES AVE STE 201L
JOLIET IL
60435-8118
US

V. Phone/Fax

Practice location:
  • Phone: 331-213-9913
  • Fax:
Mailing address:
  • Phone: 331-213-9913
  • Fax: 831-218-2716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.003398
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: