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NPI Code Detail

MEDICARE: ELIZABETH JAGER FNP-C

MEDICARE: ELIZABETH JAGER FNP-C
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 Practitioner209015137IL

General Provider Information

NPI Number : 1477095826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JAGER FNP-C
Provider Business Mailing Address
First Line : 2930 N SHERIDAN RD
Second Line : UNIT 610
City : CHICAGO
State : IL
Zip : 60657-5964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 312-733-9730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2016
Last Update Date : 09/02/2020

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Directions to “ ELIZABETH JAGER FNP-C” Practice Location

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