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NPI Code Detail

MEDICARE: JENNY SANGUENZA NP

MEDICARE: JENNY SANGUENZA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209032531IL

General Provider Information

NPI Number : 1063207215
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY SANGUENZA NP
Provider Business Mailing Address
First Line : 1221 N SWIFT RD
Second Line :
City : ADDISON
State : IL
Zip : 60101-6105
Country : US
Telephone Number : 630-953-3660
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N SWIFT RD
Second Line :
City : ADDISON
State : IL
Zip : 60101-6105
Country : US
Telephone Number : 630-953-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2025
Last Update Date : 11/14/2025

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Directions to “ JENNY SANGUENZA NP” Practice Location

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