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NPI Code Detail

MEDICARE: JANETTE P QUERUBIN APN-CNP

MEDICARE: JANETTE P QUERUBIN 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 Practitioner209011941IL
2363LG0600XGerontology Nurse Practitioner209011941IL

General Provider Information

NPI Number : 1952704116
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANETTE P QUERUBIN APN-CNP
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-3175
Fax Number : 847-982-3394
Provider Business Practice Location Address
First Line : 5145 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3661
Country : US
Telephone Number : 847-570-1027
Fax Number : 773-989-1734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2014
Last Update Date : 03/06/2026

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Directions to “ JANETTE P QUERUBIN APN-CNP” Practice Location

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