Search › Illinois › 235Z00000X
Jennifer Mauck, M.S
NPI 1023221058 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6815 N Lakewood Ave
Unit 3-South
Chicago, IL 60626 - Phone
- (773) 771-2386
- Fax
- (773) 262-2710
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois