Jennafer Birne Ottenheimer, PA-C
NPI #1356753016 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1356753016
- Entity Type
- Individual
- Name
- Jennafer Birne Ottenheimer, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 28, 2014
- Last Updated
- Jun 30, 2021
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1658
- Phone
- (847) 582-2134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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