Jenna Bazelon

NPI #1861857674 in Highland Park, Illinois

Provider Information

NPI Number: 1861857674
Entity Type: Individual
Name: Jenna Bazelon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 21, 2015
Last Updated: Dec 21, 2015

Practice Location

Address: 839 MOSELEY RD
City: Highland Park
State: Illinois
ZIP Code: 60035-4635
Phone: (847) 745-5406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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