Jennifer F Walenga in Chicago - Physician Assistant

Jennifer F Walenga - NPI 1780844530

Jennifer F Walenga is a Physician Assistant in Chicago, Illinois. Jennifer F Walenga practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer F Walenga is 1780844530. The last update date is 2011-11-02.

Jennifer F Walenga's current location address is 2537 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6169751845 and fax number 6162850846. The mailing address for Jennifer F Walenga is 2537 Momentum Pl, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer F Walenga
Address 2537 Momentum Pl, Chicago, Illinois
Phone Number 6169751845
Fax Number 6162850846
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1780844530
Provider Enumeration Date 2008-06-16
Last Updated Date 2011-11-02

Provider Mailing Address Detail

Address 2537 Momentum Pl
City Chicago
State Illinois (IL)
Post Code 606895325
Phone Number 6169751845
Fax Number 6162850846

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601005292
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00693720 MI RAILROAD MEDICARE

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FAQs about Jennifer F Walenga

What is the unique identifier code issued to Jennifer F Walenga by the Centers for Medicare & Medicaid Services (CMS)?

The Jennifer F Walenga has been assigned the NPI (National Provider Identifier) 1780844530. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jennifer F Walenga's physical address?

The Jennifer F Walenga is physically located at 2537 Momentum Pl, in the city of Chicago, IL, with the postal code 606895325.

What is Jennifer F Walenga's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer F Walenga is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780844530 to Jennifer F Walenga?

The Centers for Medicare & Medicaid Services assigned the 1780844530 to Jennifer F Walenga on 2008-06-16.

As of what date was the information regarding Jennifer F Walenga, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jennifer F Walenga, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-02.

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