DR. Jennifer Brattland Ota, MD

NPI #1891779146 in Great Lakes, Illinois

Provider Information

NPI Number: 1891779146
Entity Type: Individual
Name: DR. Jennifer Brattland Ota, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 3001A SIXTH ST
Address 2: INTERNAL MEDICINE CLINIC
City: Great Lakes
State: Illinois
ZIP Code: 60088-5230
Phone: (847) 688-4560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

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