Search › Illinois › 106S00000X
Jennifer Mika, RBT-17-38602
NPI 1639669906 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2340 19th Ave
Rockford, IL 61104 - Phone
- (608) 713-2296
- Fax
- (608) 713-2296
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-13
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