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NPI Code Detail

MEDICARE: JENNIFER ALLEN DOULA

MEDICARE: JENNIFER ALLEN DOULA
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
1374J00000XDoula1225241510IL

General Provider Information

NPI Number : 1457161788
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ALLEN DOULA
Provider Business Mailing Address
First Line : 1453 W BELMONT AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60657-2193
Country : US
Telephone Number : 773-367-7064
Fax Number :
Provider Business Practice Location Address
First Line : 33 W GRAND AVE STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60654-6799
Country : US
Telephone Number : 800-325-1812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2025
Last Update Date : 01/09/2025

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Directions to “ JENNIFER ALLEN DOULA” Practice Location

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