Healthcare Provider Details

I. General information

NPI: 1942683800
Provider Name (Legal Business Name): JENNIFER L. OLES APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JENNIFER LYNN CONRAD

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 S WASHINGTON ST STE 116
NAPERVILLE IL
60540-6678
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-9880
  • Fax: 331-221-2336
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number041387575
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209013368
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: