Jennifer Provost
Jennifer Provost is a Skilled Nursing Facility in Bartlett, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
310 Terrace DrBartlett, IL 60103-4462
Phone: (630) 337-1830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 146004757 (IL) |
|---|
Record details
| NPI number | 1316304520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2016 |
| Last updated in NPPES | January 19, 2016 |
| Mailing address | 310 Terrace Dr, Bartlett, IL 60103-4462 |
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