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General NPI Number Information
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NPI Number | 1780159996
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Entity Type | Individual
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Provider Name | JESSICA LYNN VOGT FNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 460 QUAIL RIDGE DR
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City | WESTMONT
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State | IL
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Zip | 60559-6145
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Country | US
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Telephone | 630-986-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 IRIS AVE
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City | CAROL STREAM
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State | IL
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Zip | 60188-3360
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Country | US
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Telephone | 708-214-8441
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277.002230
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License Number State | IL
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