Organization · Type 2 NPI

Jep Healthcare Provider, LLC

Family Nurse Practitioner · Mundelein, IL

NPI number 1730582990 Active

Practice location

1330 Kettering Rd
Mundelein, IL 60060-5364

Fax (847) 388-4711

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209009807 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1730582990

Jep Healthcare Provider, LLC's National Provider Identifier is 1730582990, issued on Oct 2, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mundelein, IL. The record was last updated on Oct 2, 2014.