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General NPI Number Information
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NPI Number | 1427532746
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Entity Type | Individual
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Provider Name | JENNIFER D RECKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 980 N MICHIGAN AVE STE 1090
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City | CHICAGO
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State | IL
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Zip | 60611-4521
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Country | US
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Telephone | 847-302-9916
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Fax | 855-596-4318
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Provider Business Mailing Address
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Address Line | 1014 N MEADOW LN
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-1125
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Country | US
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Telephone | 847-338-0057
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Fax | 855-596-4318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0994112
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010948
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209020702
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License Number State | IL
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