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General NPI Number Information
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NPI Number | 1235603713
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Entity Type | Individual
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Provider Name | JENNIFER M ALAMILLO APRN, FNP-C, FPA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 801 N LARKIN AVE STE 101
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City | JOLIET
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State | IL
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Zip | 60435-3470
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Country | US
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Telephone | 815-744-0029
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Fax | 815-744-3768
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Provider Business Mailing Address
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Address Line | 801 N LARKIN AVE STE 300
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City | JOLIET
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State | IL
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Zip | 60435-3441
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Country | US
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Telephone | 815-744-0029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277003398
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License Number State | IL
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