Mrs. Jennett Kyen Atanga II
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
820 S Damen Ave
Chicago
, Illinois 60612
Mrs. Jennett Kyen Atanga II
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
820 S Damen Ave
Chicago
, Illinois 60612
(312) 226-6177
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Jennett Kyen Atanga II
- 820 S Damen Ave
- Chicago, IL
- Zip : 60612-3728
- Fax : (312) 226-6177
- Phone : (630) 596-7113
Second Address
- Mrs. Jennett Kyen Atanga II
- 820 S Damen Ave
- Chicago, IL
- Zip : 60612
- Phone : (630) 596-7113
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 209018017 | IL |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 209018017 | IL |
National Provider Identifier
| NPI | 1053890004 |
|---|---|
| Provider Name | Mrs. Jennett Kyen Atanga II |
| First Address | Chicago, IL 60612-3728 |
| Second Address | Chicago, IL 60612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2018 |
| Last Update Date | 07/09/2018 |
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.