Dr JENNIFER L ENNIS is a female medical professional, specializing in Nephrology. She graduated in 1998 from University Of Pittsburgh School Of Medicine.
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1740 W TAYLOR ST
CHICAGO
IL
606127232
Tel:
| Npi | 1376707364 |
| Pac Id | 5890821623 |
| Professional Enrollment Id | I20100331000078 |
| Last Name | ENNIS |
| First Name | JENNIFER |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Group Practice Pac Id | 3072422716 |
| Number Of Group Practice Members | 790 |
| Line 1 Street Address | 1740 W TAYLOR ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | CHICAGO |
| State | IL |
| Zip Code | 606127232 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140150 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF ILLINOIS HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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