Jessica Lauren Offenbach
Nurse Practitioner - Pediatrics
225 E Chicago Ave
Chicago
, Illinois 60611-2991
Jessica Lauren Offenbach
Nurse Practitioner - Pediatrics
225 E Chicago Ave
Chicago
, Illinois 60611-2991
(847) 436-2995
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jessica Lauren Offenbach
- 2753 N Wayne Ave Unit C
- Chicago, IL
- Zip : 60614-1260
- Phone : (847) 436-2995
Second Address
- Jessica Lauren Offenbach
- 225 E Chicago Ave
- Chicago, IL
- Zip : 60611-2991
- Phone : (312) 227-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209010059 | IL |
National Provider Identifier
| NPI | 1003152778 |
|---|---|
| Provider Name | Jessica Lauren Offenbach |
| First Address | Chicago, IL 60614-1260 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2012 |
| Last Update Date | 27/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.