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Cynthia E. Jaffe

Nurse Practitioner, Family in Northbrook, IL. Organization (NPI-2).

NPI number1497942015
StatusActive
Last updated in NPPESJan 31, 2013

Details

NPI
1497942015
Entity type
Organization (NPI-2)
Legal business name
Cynthia E. Jaffe
Organization subpart
No
Enumeration date
Sep 27, 2007
Last updated
Jan 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209009692ILYes
111NX0800X Chiropractor, Orthopedic038008595IL

Practice location

3100 Dundee Rd Ste 506
Northbrook, IL 60062-2449

Phone 847-830-8748

Mailing address

1215 Daryl Ln
Northbrook, IL 60062-4610

Phone 847-830-8748

Authorized official

Cynthia Jaffe
Owner
8478308748

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