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NPI Code Detail

MEDICARE: MRS. REBECCA LEE KUENNEN JEHL APN-CNP

MEDICARE: MRS. REBECCA LEE KUENNEN JEHL APN-CNP
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
1363L00000XNurse Practitioner209009158IL
2363LF0000XFamily Nurse Practitioner209.009158IL

General Provider Information

NPI Number : 1235415597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA LEE KUENNEN JEHL APN-CNP
Provider Business Mailing Address
First Line : 800 W CENTRAL RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2349
Country : US
Telephone Number : 847-618-3231
Fax Number : 847-618-3229
Provider Business Practice Location Address
First Line : 1520 N KOSTNER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-1610
Country : US
Telephone Number : 312-337-1073
Fax Number : 833-428-3991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2011
Last Update Date : 04/09/2026

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