Provider Demographics
NPI:1760628077
Name:JEBENS-MILLS, KARLA RAE (DVM)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:RAE
Last Name:JEBENS-MILLS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-0540
Mailing Address - Country:US
Mailing Address - Phone:630-466-7387
Mailing Address - Fax:630-466-9507
Practice Address - Street 1:50 CROSS STREET
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60540-0540
Practice Address - Country:US
Practice Address - Phone:630-466-7387
Practice Address - Fax:630-466-9507
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090-007105174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian