Provider Demographics
NPI:1275708109
Name:TUAZON, JENNIFER ALVARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALVARAN
Last Name:TUAZON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:710 N FAIRBANKS CT
Mailing Address - Street 2:OLSON 4-500
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3013
Mailing Address - Country:US
Mailing Address - Phone:312-926-4880
Mailing Address - Fax:312-926-4885
Practice Address - Street 1:710 N FAIRBANKS CT
Practice Address - Street 2:OLSON 4-500
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3013
Practice Address - Country:US
Practice Address - Phone:312-926-4880
Practice Address - Fax:312-926-4885
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-115865207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology