SearchIllinois363LW0102X

Jenna Mann

NPI 1295620029 · on the registry since 2025

Practice

Address
1123 W Randolph St
Chicago, IL 60607
Phone
(312) 620-7870
Clinicians at this address
3

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-11

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