Provider Demographics
NPI:1174751085
Name:RAMOS, JEAN M (APN, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:M
Last Name:RAMOS
Suffix:
Gender:F
Credentials:APN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 YORK ST STE 3C
Mailing Address - Street 2:
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-2411
Mailing Address - Country:US
Mailing Address - Phone:708-824-4812
Mailing Address - Fax:708-489-7946
Practice Address - Street 1:2310 YORK ST STE 4A
Practice Address - Street 2:
Practice Address - City:BLUE ISLAND
Practice Address - State:IL
Practice Address - Zip Code:60406-2411
Practice Address - Country:US
Practice Address - Phone:708-489-7940
Practice Address - Fax:708-489-7946
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007421363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health