SearchIllinois101YM0800X

Jennifer Gentry, MA, IBCLC, RLC

NPI 1538563887 · on the registry since 2014 · sole proprietor

Practice

Address
1580 N Northwest Hwy Ste 116
Park Ridge, IL 60068
Phone
(847) 220-7038
Organisation at this address
Amivo Med Llc
Amvant Med Llc
Rfmzen Med Llc
Amsora Med Llc
Dinzen Med Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Additional practice sites

  • 8540 Springfield Ave, Skokie, IL

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
174N00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-29

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